MS. MICHELLE M WRUCK


Address: 1152 Montauk Hwy, Water Mill, NY 11976-2635
Phone: 6317268033

MS. MICHELLE M WRUCK (NPI# 1902928229) 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) 1902928229
Entity Type Individual
Full Name MS. MICHELLE M WRUCK
Credential NP
Practice Address 1152 Montauk Hwy
Water Mill
NY 11976-2635
Mailing Address 8 Drew Dr
Eastport
NY 11941-1335
Practice Telephone 6317268033
Practice Fax Number 6317268031
Mailing Telephone 6313258031
Enumeration Date 2007-04-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F380554-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1152 MONTAUK HWY
City WATER MILL
State NY
Zip Code 11976-2635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568581064 Patricia Mary Pearson Nurse Practitioner 1152 Montauk Hwy, Water Mill, NY 11976-2635 2007-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447745062 Richard M. Lawless Counselor 860 Montauk Highway, Building 1, Water Mill, NY 11976 2018-06-26
1982040176 Jack Walter Carl Hagstrom Pathology 876, Seven Ponds Towd Road, Water Mill, NY 11976 2013-05-15
1093009003 Liane Hayward Physical Therapist 70 Scuttle Hole Road, Water Mill, NY 11976 2011-06-07
1437374840 Joanne Mercer Podiatrist 708 Montauk Hwy, Water Mill, NY 11976 2007-04-13
1679608004 Kaye Wilson Family Medicine 1320 Montauk Hwy, Watermill, NY 11976 2007-02-23
1215032297 Damian A Marrese Family Medicine 860 Montauk Hwy, #247, Water Mill, NY 11976-0247 2006-09-14
1619272408 Gertrud Elisabeth Hoertnagl-pereira Occupational Therapist 262 Roses Grove Rd, Water Mill, NY 11976-2034 2011-01-25
1285996173 Pamela Ann Wittenberg Specialist 472 Blank Ln, Water Mill, NY 11976-2136 2012-06-15
1922423847 Anthony Lombardo Registered Nurse 32 Deer Run, Water Mill, NY 11976-2144 2014-02-28
1619489531 Nicole Elizabeth Gambino Specialist 35 Winding Way, Water Mill, NY 11976-2325 2017-11-01
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568581064 Patricia Mary Pearson Nurse Practitioner 1152 Montauk Hwy, Water Mill, NY 11976-2635 2007-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1952909012 Marina Byshovets Nurse Practitioner 164 Admiralty Loop, Staten Island, NY 10309-3964 2020-10-12
1700483799 Dmitry Pediatrics, Pediatric Nurse Practitioner PC Nurse Practitioner 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 2020-10-03
1427664572 Leigh Ann Cohen Nurse Practitioner 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 2020-09-23
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1992311567 Jyneva W Pickel Nurse Practitioner 3959 Broadway Rm 722, New York, NY 10032-1559 2020-09-19
1902410186 Katie Elise Boyd Nurse Practitioner 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 2020-09-03
1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
1134733710 Khristan Heagle Haller Nurse Practitioner 20 Locust Ln, Bronxville, NY 10708-4933 2020-09-01
1831703412 Marijana Waite Nurse Practitioner 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 2020-09-01
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Competitor

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City WATER MILL
Zip Code 11976

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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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