Individual
FERN CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
1425 E 57TH ST, BROOKLYN, NY 11234-4003
(917) 294-4478
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
661293-01
NY
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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