Healthcare Provider Details

I. General information

NPI: 1326414632
Provider Name (Legal Business Name): RYC ORTHOPAEDICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 09/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 7TH AVE SUITE 2B
BROOKLYN NY
11215-7247
US

IV. Provider business mailing address

PO BOX 941
ITHACA NY
14851-0941
US

V. Phone/Fax

Practice location:
  • Phone: 212-427-7750
  • Fax:
Mailing address:
  • Phone: 212-427-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD J ROSE
Title or Position: OWNER
Credential: M.D.
Phone: 212-427-7750