Healthcare Provider Details

I. General information

NPI: 1952205981
Provider Name (Legal Business Name): RUTH BESALEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 E 26TH ST
BROOKLYN NY
11210-3725
US

IV. Provider business mailing address

917 E 26TH ST
BROOKLYN NY
11210-3725
US

V. Phone/Fax

Practice location:
  • Phone: 917-447-8774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number932697-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: