Individual
JOSHUA EVERETTE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(631) 422-5371
(631) 893-8012
Mailing address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(631) 422-5371
(631) 893-8012
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
287395
NY
Other
Enumeration date
05/03/2011
Last updated
10/17/2019
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