Individual
DEBRA RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, BC-FNP, CD
Contact information
Practice address
40 ARCH ST, DIABETES EDUCATION AND MANAGEMENT CENTER, JOHNSON CITY, NY 13790
(607) 763-6092
(607) 763-6677
Mailing address
346 GRAND AVE, UNITED HEALTH SERVICES HOSP INC, JOHNSON CITY, NY 13790
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333913-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672099
—
NY
Enumeration date
05/13/2006
Last updated
11/04/2008
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