Provider Demographics
NPI:1982327136
Name:ADLER, RUTH MOULTON (MED)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:MOULTON
Last Name:ADLER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:RUTHIE
Other - Middle Name:
Other - Last Name:ADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED
Mailing Address - Street 1:268 15TH ST APT 1L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4989
Mailing Address - Country:US
Mailing Address - Phone:917-972-5021
Mailing Address - Fax:
Practice Address - Street 1:1115 BROADWAY FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3454
Practice Address - Country:US
Practice Address - Phone:646-397-5255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health