Individual
RYAN ENGDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1562 1ST AVE, NEW YORK, NY 10028
(212) 746-5454
Mailing address
1562 1ST AVE # 122, NEW YORK, NY 10028-4004
(212) 746-5454
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
268129
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
06/14/2007
Last updated
08/05/2018
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