Individual
RUTH ZUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21443 35TH AVE, BAYSIDE, NY 11361-1711
(718) 747-5645
Mailing address
5804 251ST ST, LITTLE NECK, NY 11362-2121
(718) 225-9492
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
417750-1
NY
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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