Organization
DOUGHTY AND RYZOVA MEDICAL GROUP PC
Active
Organization
DOUGHTY AND RYZOVA MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ANN RUSSO (BILLING MANAGER)
(631) 689-6226
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY BLDG 14, STONY BROOK, NY 11790-2555
(631) 689-6226
(631) 675-0736
Mailing address
2500 NESCONSET HWY BLDG 14, STONY BROOK, NY 11790-2555
(631) 689-6226
(631) 675-0736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063649796
NPI
NY
01
—
1407867724
NPI
NY
01
—
1568633956
NPI
NY
Enumeration date
09/13/2016
Last updated
11/16/2022
Update your record
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