Individual
JONATHAN GEORGE RUFFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
12 RUTLAND LN, MELVILLE, NY 11747-2614
(347) 439-5264
Mailing address
12 RUTLAND LN, MELVILLE, NY 11747-2614
(347) 439-5264
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
025347
NY
103TC0700X
Clinical Psychologist
025347
NY
103TS0200X
School Psychologist
025347
NY
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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