JOANNA PRICE RUSK


Address: 2020 Coney Island Avenue Midwood Adolescent Clinic, Jewish Board of Family and Children's Services(jbfcs), Brooklyn, NY 11223
Phone: 7186764280

JOANNA PRICE RUSK (NPI# 1083892962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083892962
Entity Type Individual
Full Name JOANNA PRICE RUSK
Other Name CATHLEEN JOANNA PRICE
Credential NPP
Practice Address 2020 Coney Island Avenue Midwood Adolescent Clinic
Jewish Board of Family and Children's Services(jbfcs)
Brooklyn
NY 11223
Practice Telephone 7186764280
Practice Fax Number 7186764299
Mailing Telephone 7186764280
Mailing Fax Number 7186764299
Enumeration Date 2008-02-04
Last Update Date 2016-08-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F400878 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
40 400878 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2020 CONEY ISLAND AVENUE MIDWOOD ADOLESCENT CLINIC
JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES(JBFCS)
City BROOKLYN
State NY
Zip Code 11223

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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