MEDICARE: DEBBIE RYBAK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA10870100	NJ
2	207RI0200X	Infectious Disease Physician	25MA10870100	NJ

General Provider Information

NPI Number	:	1467833376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE RYBAK M.D.

Provider Business Mailing Address
First Line	:	1596 E 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6710
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1596 E 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6710
Country	:	US
Telephone Number	:	917-881-4355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	08/14/2023

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