Individual
DR. RYAN T GUALTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6740 4TH AVE, BROOKLYN, NY 11220-5350
(929) 455-2000
Mailing address
6740 4TH AVE, BROOKLYN, NY 11220-5350
(929) 455-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
275596
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
275596
NY
208VP0000X
Pain Medicine Physician
275596
NY
Other
Enumeration date
05/21/2012
Last updated
02/20/2023
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