Provider Demographics
NPI:1679935704
Name:RUAN, MINYI
Entity type:Individual
Prefix:
First Name:MINYI
Middle Name:
Last Name:RUAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 34TH RD APT 6E
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6008
Mailing Address - Country:US
Mailing Address - Phone:646-321-7626
Mailing Address - Fax:
Practice Address - Street 1:9411 34TH RD APT 6E
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6008
Practice Address - Country:US
Practice Address - Phone:646-321-7626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator