Provider Demographics
NPI:1790978161
Name:GARGAN-KLINGER, RUTH ANN (NP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:GARGAN-KLINGER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:DEPT OF NEUROSURGERY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-8556
Mailing Address - Fax:212-717-3231
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:BOX 71
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-8556
Practice Address - Fax:212-717-3231
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY30-301747363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health