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Individual

DR. RYAN JAMES CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
23 OCEANIC AVE, STATEN ISLAND, NY 10312-6511
(718) 948-8880
Mailing address
33 JADE CT, STATEN ISLAND, NY 10309-2007
(718) 887-1591

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
009360
NY
152W00000X
Optometrist
27M00173300
NJ
152W00000X
Optometrist
27OA00706100
NJ
152W00000X
Optometrist
Primary
TUV009360
NY

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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