Healthcare Provider Details

I. General information

NPI: 1811249980
Provider Name (Legal Business Name): RYC ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 5TH AVE
NEW YORK NY
10028-0112
US

IV. Provider business mailing address

PO BOX 941
ITHACA NY
14851-0941
US

V. Phone/Fax

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

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: THOMAS YOUM
Title or Position: PARTNER
Credential: MD
Phone: 212-348-3636