Individual
RONALD SHUTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
767 GREENE AVE, APT 3C, BROOKLYN, NY 11221-5915
(347) 512-4117
Mailing address
767 GREENE AVE, APT 3C, BROOKLYN, NY 11221-5915
(347) 512-4117
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
633973
NY
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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