| Vitina Ruffino-mosher, FNP | |
|
46 E Main St, Fonda, NY 12068-4821 | |
| (518) 853-3190 | |
| (518) 853-3191 |
| Full Name | Vitina Ruffino-mosher |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 46 E Main St, Fonda, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619030616 | NPI | - | NPPES |
| 02620304 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F3337881 (New York) | Primary |
| Entity Name | Nathan Littauer Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073541850 PECOS PAC ID: 4183618101 Enrollment ID: O20040413000599 |
| Entity Name | Emily T. Etzkorn, M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396856530 PECOS PAC ID: 1557554235 Enrollment ID: O20101026001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Vitina Ruffino-mosher, FNP 99 E State St, Gloversville, NY 12078-1203 Ph: (518) 853-3190 | Vitina Ruffino-mosher, FNP 46 E Main St, Fonda, NY 12068-4821 Ph: (518) 853-3190 |
Mrs. Kristi Lc Searles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 E Main St, Fonda, NY 12068 Phone: 518-853-3190 Fax: 518-853-3191 | |
Kaitlyn Conway Dulski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 E Main St, Fonda, NY 12068 Phone: 518-853-3190 | |
Kevin Walter Wieczenski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 E Main St, Fonda, NY 12068 Phone: 518-773-5308 |