Individual
DR. ERIC RYAN UYGUANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-3051
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-3051
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
232180
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081418
—
NY
01
—
232180
NYS LICENSE
NY
Enumeration date
03/16/2008
Last updated
08/25/2014
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