Ezra, Ruby

Ezra, Ruby is an sole proprietor health care provider with primary practice located at 163 Stuyvesant Dr , Port Jefferson Station NY 11776-4251. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ezra, Ruby can be contacted via phone (631) 342-7514.

Contact Information

Primary practice address
163 Stuyvesant Dr Port Jefferson Station NY 11776-4251
Phone: (631) 342-7514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 569398-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F308975-1 New York

Profile Details

NPI number 1699088898
LBN Legal business name Ezra, Ruby
Credentials A-GNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2010
Last updated Jul 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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