Doctor Name: | DANA MARIE RUTH-SETEK |
NPI Number: | 1205036449 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F335293 |
Business Practice Address: | 28 Cayuga St Seneca Falls, NY - 131481417 |
Business Phone Number: | 3155684415 |
Business Fax Number: | 3155684332 |
Mailing Address: | 648 Cumberland Ave, SYRACUSE |
State: | NY |
Postal Code: | 132102624 |
Phone Number: | 3154280620 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F335293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |