Provider Demographics
NPI:1336541507
Name:DON, RUTH
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:DON
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 1:8451 BEVERLY RD APT 3F
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2106
Mailing Address - Country:US
Mailing Address - Phone:917-273-3784
Mailing Address - Fax:
Practice Address - Street 1:8451 BEVERLY RD APT 3F
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2106
Practice Address - Country:US
Practice Address - Phone:917-273-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist