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General NPI Number Information
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NPI Number | 1144012428
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Entity Type | Organization
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Legal Business Name | RYAN LINGOR MD PC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 541 E 71ST ST
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City | NEW YORK
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State | NY
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Zip | 10021-4871
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Country | US
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Telephone | 212-606-1202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12243
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City | HAUPPAUGE
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State | NY
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Zip | 11788-0868
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Country | US
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Telephone | 631-998-3495
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RYAN LINGOR
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Credential | MD
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Telephone | 631-998-3495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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