Individual
RYAN RAY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19213 UNION TPKE, FRESH MEADOWS, NY 11366-1865
(718) 468-9800
Mailing address
19213 UNION TPKE, FRESH MEADOWS, NY 11366-1865
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01087632A
IN
207W00000X
Ophthalmology Physician
Primary
312632
NY
207W00000X
Ophthalmology Physician
A157863
CA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
312632
NY
Other
Enumeration date
04/05/2017
Last updated
08/21/2023
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