Healthcare Provider Details

I. General information

NPI: 1073142592
Provider Name (Legal Business Name): RYAN ARYA LEBUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE GUSTAVE LEVY PLACE
NEW YORK NY
10029
US

IV. Provider business mailing address

ONE GUSTAVE LEVY PLACE, BOX 1620
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-824-8069
  • Fax: 646-537-9317
Mailing address:
  • Phone: 212-824-8069
  • Fax: 646-537-9317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number331774
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: