Individual provider · Type 1 NPI

Dylan Rust

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1407503626 Active

Practice location

104 Haven Ave
New York, NY 10032-2654

Call (307) 871-7631 Map

Mailing address

611 W 148th St Apt 59
New York, NY 10031-3112

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407503626

Dylan Rust's National Provider Identifier is 1407503626, issued on Mar 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 8, 2022.