Individual
FAYMARIE RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4325
Mailing address
595 W 207TH ST, NEW YORK, NY 10034-2605
(917) 873-2217
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011037
NY
Other
Enumeration date
02/12/2007
Last updated
12/06/2016
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