Dr. Jacklyn Susan Rukaj, Psy.D.
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1336740331
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1336740331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacklyn Susan Rukaj
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | P107550 | NY | Yes |
Practice location
260 Madison Ave Fl 8New York, NY 10016-2418
Phone 212-335-0511
Mailing address
7 Highland CrossOakland, NJ 07436-2335
Phone 201-937-2276 · Fax 800-980-6864
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