MEDICARE: RYAN K ENG DO

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	207R00000X	Internal Medicine Physician	337990	NY

General Provider Information

NPI Number	:	1609526789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN K ENG DO

Provider Business Mailing Address
First Line	:	325 LAKESIDE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-4314
Country	:	US
Telephone Number	:	862-621-5815
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 10TH AVE STE 3A-08
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-4718
Country	:	US
Telephone Number	:	212-259-6777
Fax Number	:

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

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	10/22/2025

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Directions to “ RYAN K ENG DO” Practice Location

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