Individual
DR. JACKLYN SUSAN RUKAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
260 MADISON AVE FL 8, NEW YORK, NY 10016-2418
(212) 335-0511
Mailing address
7 HIGHLAND CROSS, OAKLAND, NJ 07436-2335
(201) 937-2276
(800) 980-6864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P107550
NY
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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