Individual
MARK RYDZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5804 61ST ST, MASPETH, NY 11378-2811
(718) 894-9156
(718) 692-8569
Mailing address
5804 61ST ST, MASPETH, NY 11378-2811
(718) 894-9156
(718) 692-8569
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
185061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477861
—
NY
01
—
110167260
RAILROAD
NY
Enumeration date
11/01/2006
Last updated
02/27/2009
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