Provider Demographics
NPI:1659500544
Name:DRUCKER, RONNIE (RN)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:
Last Name:DRUCKER
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 1:320 E SHORE RD
Mailing Address - Street 2:10A
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1733
Mailing Address - Country:US
Mailing Address - Phone:516-829-5717
Mailing Address - Fax:
Practice Address - Street 1:320 E SHORE RD
Practice Address - Street 2:10A
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1733
Practice Address - Country:US
Practice Address - Phone:516-829-5717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY474250163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse