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Organization

JOSHUA RYAN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA RYAN MD (OWNER)
(631) 422-5371
Entity
Organization

Contact information

Practice address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(631) 422-5371
(631) 893-8012
Mailing address
4681 VETERANS MEMORIAL HWY, HOLBROOK, NY 11741-4515
(631) 422-5371
(631) 893-8012

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
07/22/2020
Last updated
07/22/2020
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