Individual
RYAN DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
139 CENTRE ST PH 104, NEW YORK, NY 10013
(212) 343-2536
Mailing address
720 57TH ST APT 4D, BROOKLYN, NY 11220-3777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
10/20/2022
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