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1851325252
RUTH E KOCH
MEDFORD, NY
NPI
1851325252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F400122)
Enumeration Date
2006-07-10
Last Update Date
2010-06-04
Business Address
-- RUTH E KOCH NPP
31 INDUSTRIAL BOULEVARD YAPHANK CENTER
MEDFORD, NY 11763
Phone number: 631-924-4411
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Mailing Address
-- RUTH E KOCH NPP
31 INDUSTRIAL BOULEVARD YAPHANK CENTER
MEDFORD, NY 11763
Phone number: 631-924-4411
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