Rutkowski, Debra

Rutkowski, Debra is an individual health care provider with primary practice located at 40 Arch St Diabetes Education And Management Center, Johnson City NY 13790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rutkowski, Debra can be contacted via phone (607) 763-6092.

Contact Information

Primary practice address
40 Arch St Diabetes Education And Management Center Johnson City NY 13790
Phone: (607) 763-6092
Fax: (607) 763-6677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333913-1 New York

Profile Details

NPI number 1851342034
LBN Legal business name Rutkowski, Debra
Credentials MS, APRN, BC-FNP, CD
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Nov 4th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851342034 NPPES
New York MEDICAID 02672099

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