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NPI Code Detail

MEDICARE: RYAN CHRISTOPHER DESJEAN MD

MEDICARE: RYAN CHRISTOPHER DESJEAN MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35.097502OH
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician256706NY

General Provider Information

NPI Number : 1750541686
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CHRISTOPHER DESJEAN MD
Provider Business Mailing Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-5629
Fax Number : 718-780-3673
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-5629
Fax Number : 718-780-3673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 03/16/2026

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