=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649419771
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RYICAL MEDICAL CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2009
-----------------------------------------------------
Last Update Date | 11/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 515 MADISON AVE FL 3800B
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10022-5407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-804-8805
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 515 MADISON AVE FL 3800B 3800B
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10022-5407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-804-8805
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. TOBI BETH GREENE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 201-804-8805
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 25MA08144200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------