Individual
RYAN MATTHEW BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2525 KINGS HWY, BROOKLYN, NY 11229-1705
(718) 692-5300
Mailing address
1077 NOSTRAND AVE APT 1, BROOKLYN, NY 11225-4121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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