person
Ruth E Koch, NPP
Psychiatric/Mental Health Nurse Practitioner in Medford, New York
NPI 1851325252

Ruth E Koch is a Psychiatric/Mental Health Nurse Practitioner based in Medford, NY and is specialized in Psychiatric/Mental Health. Ruth E Koch practices in Medford, NY and has the professional credentials of NPP. The NPI Number for Ruth E Koch is 1851325252 and holds a License No. F400122 (New York).

The current practice location address for Ruth E Koch is 31 Industrial Boulevard, Medford, NY and can be reached out via phone at 631-924-4411 and via fax at 631-924-4454.

Location: 31 Industrial Boulevard, Medford, NY, 11763
person
Provider Profile Details
NPI Number
1851325252
Provider Name
Ruth E Koch
Credential
NPP
Provider Entity Type
Individual
Gender
Female
Address
31 Industrial Boulevard, Medford, NY, 11763
Phone Number
631-924-4411
Fax Number
631-924-4454
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01634124 05 NY
institution
Provider Business Practice Location Address Details
Address
31 Industrial Boulevard
City
State
Zip
11763
Phone Number
631-924-4411
Fax Number
631-924-4454
person
Provider Business Mailing Address Details
Address
31 Industrial Boulevard
City
State
Zip
11763
Phone Number
631-924-4411
Fax Number
631-924-4454
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F400122 (New York)
Definition
Definition to come...
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