Individual
MRS. AGNES UMALI RUECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
250 BALTIC STREET, BROOKLYN, NY 11201
(718) 855-3131
Mailing address
203 ELIZABETH ST, STATEN ISLAND, NY 10310-2337
(718) 876-9211
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
361937-1
NY
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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