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NPI Code Detail

MEDICARE: RYAN STEVEN MORASSE MD

MEDICARE: RYAN STEVEN MORASSE 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
12085R0202XDiagnostic Radiology PhysicianMD30102ME
2390200000XStudent in an Organized Health Care Education/Training Program
32085R0202XDiagnostic Radiology Physician39109NH

General Provider Information

NPI Number : 1811460868
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN STEVEN MORASSE MD
Provider Business Mailing Address
First Line : 279 CUMBERLAND ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-6419
Country : US
Telephone Number : 949-500-8108
Fax Number :
Provider Business Practice Location Address
First Line : 234 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5504
Country : US
Telephone Number : 718-579-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2019
Last Update Date : 05/21/2026

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