Individual
RYAN WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 KINDERKAMACK RD, RIVER EDGE, NJ 07661-2140
(201) 523-9207
(201) 523-9208
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00754700
NJ
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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