Individual
RUBY JACOB ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
642 PARK AVE, YONKERS, NY 10703-1525
(914) 806-5325
Mailing address
642 PARK AVE, YONKERS, NY 10703-1525
(914) 806-5325
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
414675-1
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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