National Provider Identifier

Kenzie Rusak

Kenzie Rusak is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Bath, NY and a listed phone number of (607) 664-2438.

NPI 1659883148Bath, NYCase Manager/Care Coordinator

Profile Overview

NPI
1659883148
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
October 25, 2017
Last Updated
October 25, 2017

Practice Location

  • 3 E Pulteney Sq
  • Bath, NY 14810-1510

Phone: (607) 664-2438

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1659883148
Entity Type
Individual
Last Name
Rusak
First Name
Kenzie
Mailing Street Address
3 E Pulteney Sq
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1510
Mailing Country
US
Practice Street Address
3 E Pulteney Sq
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1510
Practice Country
US
Practice Phone
(607) 664-2438
Enumeration Date
October 25, 2017
Last Updated
October 25, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)