Individual
RUBY DENARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MARYS AVE, KINGSTON, NY 12401-5829
(845) 338-2500
Mailing address
105 MARYS AVE, KINGSTON, NY 12401-5829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
352366
NY
363LF0000X
Family Nurse Practitioner
352366
NY
Other
Enumeration date
10/24/2023
Last updated
05/10/2024
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