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Individual

RYAN BARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDA-A, FASMLAP

Contact information

Practice address
15 COLUMBUS AVE, KINGS PARK, NY 11754
(631) 987-9643
Mailing address
15 COLUMBUS AVE, KINGS PARK, NY 11754-4902
(631) 987-9643

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
409640
NY
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
12041708
NY
235500000X
Speech/Language/Hearing Specialist/Technologist
4586440
NY
246Z00000X
Other Specialist/Technologist
12041708
NY
247200000X
Other Technician
12041708
NY
367H00000X
Anesthesiologist Assistant
37825865
NY
390200000X
Student in an Organized Health Care Education/Training Program
409640
NY

Other

Enumeration date
01/17/2014
Last updated
10/18/2018
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