Individual
JAMIE RUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
374 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 473-2273
Mailing address
23 CROFT RD, POUGHKEEPSIE, NY 12603-4917
(914) 474-0430
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310336-01
NY
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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