Provider Demographics
NPI:1801820568
Name:CARRUTHERS, JAY W (MD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:W
Last Name:CARRUTHERS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:25 HACKETT BLVD
Mailing Address - Street 2:AMC PSYCHIATRY - MC164
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3462
Mailing Address - Country:US
Mailing Address - Phone:518-262-5511
Mailing Address - Fax:518-262-6111
Practice Address - Street 1:25 HACKETT BLVD
Practice Address - Street 2:AMC PSYCHIATRY - MC164
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3462
Practice Address - Country:US
Practice Address - Phone:518-262-5511
Practice Address - Fax:518-262-6111
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2009-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA2283242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry