Provider Demographics
NPI:1871313221
Name:COLLINS, RUBY (CD-PIC)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CD-PIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 W 65TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6622
Mailing Address - Country:US
Mailing Address - Phone:781-635-5429
Mailing Address - Fax:
Practice Address - Street 1:42 W 65TH ST APT 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6642
Practice Address - Country:US
Practice Address - Phone:781-635-5429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula