Individual
RUTH ROUSSEAU JEAN PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E 241ST ST, BRONX, NY 10470-1303
(718) 671-2100
(718) 671-1269
Mailing address
5211 AVENUE H, BROOKLYN, NY 11234-1632
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
325224
NY
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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