Provider Demographics
NPI:1437937463
Name:GARCIA, RUTH E
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 COLONY LN
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2218
Mailing Address - Country:US
Mailing Address - Phone:516-621-1281
Mailing Address - Fax:516-621-1259
Practice Address - Street 1:59 COLONY LN
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2218
Practice Address - Country:US
Practice Address - Phone:516-621-1281
Practice Address - Fax:516-621-1259
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty