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Individual

KERRY RUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
31 MERRICK AVE, STE 230, MERRICK, NY 11566-3406
(516) 333-1444
(516) 333-2725
Mailing address
370 OLD COUNTRY RD, STE 100, GARDEN CITY, NY 11530-1702
(516) 333-1444
(516) 333-2725

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
243902-1
NY

Other

Enumeration date
03/26/2010
Last updated
06/04/2021
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