MEDICARE: RYAN MOK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	073415	NY

General Provider Information

NPI Number	:	1457215873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN MOK

Provider Business Mailing Address
First Line	:	2520 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-2017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5515
Country	:	US
Telephone Number	:	718-209-8121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ RYAN MOK ” Practice Location

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