Individual
DR. RYAN DAVID MATISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
159 EAST 74TH ST, FIRST FLOOR, NEW YORK, NY 10021-1002
(212) 439-1596
Mailing address
159 E 74TH ST, STE 3, NEW YORK, NY 10021-3235
(917) 774-4600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
046564-01
NY
Other
Enumeration date
12/10/2020
Last updated
04/05/2021
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