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:
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Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780708388 NPPES
New York MEDICAID 02944085

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