Individual
DR. LYCIA RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2701 SUNRISE HWY, ISLIP TERRACE, NY 11752-2642
(631) 638-2375
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231408
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
643Z81
EMPIRE BC.BS
NY
Enumeration date
08/15/2006
Last updated
04/27/2015
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