Healthcare Provider Details

I. General information

NPI: 1386558070
Provider Name (Legal Business Name): RUTHZAH A DORCELY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 ROBERT PITT DR
MONSEY NY
10952-3332
US

IV. Provider business mailing address

87 W CLARKSTOWN RD
NEW CITY NY
10956-1225
US

V. Phone/Fax

Practice location:
  • Phone: 845-577-6170
  • Fax:
Mailing address:
  • Phone: 845-820-6785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberN48713
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: