Martin, Ryan
Martin, Ryan is an individual health care provider with primary practice located at 63-17 Metropolitan Avenue , Middle Village NY 11379. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Martin, Ryan can be contacted via phone (718) 554-6610.Contact Information
Primary practice address
63-17 Metropolitan Avenue
Middle Village NY 11379
Phone: (718) 554-6610
Fax: (718) 360-4908
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 028643 | New York |
Profile Details
NPI number | 1780708388 |
---|---|
LBN Legal business name | Martin, Ryan |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 19th, 2007 |
Last updated | Oct 5th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780708388 | NPPES |
New York | MEDICAID | 02944085 |
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