Provider Demographics
NPI:1447414677
Name:MATTHEWS-ROWE, RUTH OMELIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:OMELIA
Last Name:MATTHEWS-ROWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BACC CLINIC, 2830 PITKIN AVENUE
Mailing Address - Street 2:5 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208
Mailing Address - Country:US
Mailing Address - Phone:718-235-8690
Mailing Address - Fax:718-235-8871
Practice Address - Street 1:2830 PITKIN AVENUE
Practice Address - Street 2:5 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208
Practice Address - Country:US
Practice Address - Phone:718-235-8690
Practice Address - Fax:718-235-8871
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY559858-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse