Provider Demographics
NPI:1366771495
Name:CALLAHAN, RUTH (PCD)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W 93RD ST
Mailing Address - Street 2:# 20G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7620
Mailing Address - Country:US
Mailing Address - Phone:212-749-6613
Mailing Address - Fax:
Practice Address - Street 1:70 W 93RD ST
Practice Address - Street 2:# 20G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7620
Practice Address - Country:US
Practice Address - Phone:212-749-6613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-20
Last Update Date:2009-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula