Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ01091700 | NJ |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 432001 | NY |
NPI | 1023680022 |
---|---|
Provider Name | Dr. Samantha Marie Ruszkowski |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2021 |
Last Update Date | 20/08/2021 |