MEDICARE: RYAN J. CHUANG MD, MPHIL

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	208800000X	Urology Physician	321953	NY

General Provider Information

NPI Number	:	1881048197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN J. CHUANG MD, MPHIL

Provider Business Mailing Address
First Line	:	100 HOSPITAL RD.
Second Line	:	SUITE 200
City	:	PATCHOGUE
State	:	NY
Zip	:	11772
Country	:	US
Telephone Number	:	631-228-5858
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HOSPITAL RD.
Second Line	:	SUITE 200
City	:	PATCHOGUE
State	:	NY
Zip	:	11772
Country	:	US
Telephone Number	:	631-228-5858
Fax Number	:

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

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	06/10/2026

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