Healthcare Provider Details

I. General information

NPI: 1083347157
Provider Name (Legal Business Name): RYC ORTHOPAEDICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E 86TH ST # 1A
NEW YORK NY
10028-1059
US

IV. Provider business mailing address

55 E 86TH ST # 1A
NEW YORK NY
10028-1059
US

V. Phone/Fax

Practice location:
  • Phone: 212-348-3636
  • Fax: 212-410-3338
Mailing address:
  • Phone: 212-348-3636
  • Fax: 212-410-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DONALD ROSE
Title or Position: OWNER
Credential: MD
Phone: 212-348-3636