Individual
ERIC RYAN STILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(617) 620-1764
Mailing address
58 S OXFORD ST, BROOKLYN, NY 11217-1305
(617) 620-1764
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
TBD
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022365
NY PA LICENSE
NY
Enumeration date
07/18/2018
Last updated
12/19/2019
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