Provider Demographics
NPI:1386884807
Name:CASSIN, RUTH ANNE (MD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANNE
Last Name:CASSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 RICKERSON POND RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-2609
Mailing Address - Country:US
Mailing Address - Phone:518-891-5927
Mailing Address - Fax:
Practice Address - Street 1:27 RICKERSON POND RD
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-2609
Practice Address - Country:US
Practice Address - Phone:518-891-5927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1981142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry