Individual
DR. RYAN JOHN MALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD # A, VALHALLA, NY 10595
(914) 493-7000
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
301454
NY
Other
Enumeration date
09/30/2006
Last updated
11/29/2021
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