Individual
MRS. RUBY MARCIA WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
471 HART ST, BROOKLYN, NY 11221-2515
(718) 443-3800
(718) 443-3837
Mailing address
100 BAKER CT UNIT 5, ISLAND PARK, NY 11558-2260
(516) 431-7714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301240
NY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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