Individual
DR. RYAN OVINDRA MOTIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
38 VANDERBILT MOTOR PKWY, COMMACK, NY 11725
(631) 485-7800
Mailing address
38 VANDERBILT MOTOR PKWY, COMMACK, NY 11725-5410
(631) 485-7800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008983
NY
Other
Enumeration date
06/26/2019
Last updated
03/14/2024
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