Healthcare Provider Details

I. General information

NPI: 1326495821
Provider Name (Legal Business Name): ERIKA MARLEE RYAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5610 2ND AVE
BROOKLYN NY
11220-3599
US

IV. Provider business mailing address

5610 2ND AVE
BROOKLYN NY
11220-3599
US

V. Phone/Fax

Practice location:
  • Phone: 718-630-7942
  • Fax:
Mailing address:
  • Phone: 718-630-7241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number305298
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: