MEDICARE: MR. MARK C RYAN LCSW

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	1041C0700X	Clinical Social Worker	073546	NY

General Provider Information

NPI Number	:	1912038514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK C RYAN LCSW

Provider Business Mailing Address
First Line	:	365 CLINTON AVE
Second Line	:	APT 10 H
City	:	BROOKLYN
State	:	NY
Zip	:	11238-1176
Country	:	US
Telephone Number	:	917-282-3782
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 9TH AVE
Second Line	:	FLOOR 2
City	:	BROOKLYN
State	:	NY
Zip	:	11215
Country	:	US
Telephone Number	:	718-230-7151
Fax Number	:

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1568313161 — HALEY ELIZABETH ABBOTT DDS
Practice Location Address:

506 6TH ST
BROOKLYN, NY
11215-3609

Practice Phone: 718-780-3000
Practice Fax:

1285585893 — MALLORY CHAVIS
Practice Location Address:

257 15TH ST
BROOKLYN, NY
11215-4988

Practice Phone: 718-788-5101
Practice Fax:

1508507575 — YING XIN WU DO
Practice Location Address:

506 6TH ST
BROOKLYN, NY
11215-3609

Practice Phone: 646-553-8651
Practice Fax:

1568852960 — MACROSCRIPTS INC
Practice Location Address:

537 5TH AVE
BROOKLYN, NY
11215-8037

Practice Phone: 718-633-6337
Practice Fax: 718-633-6332

1841969607 — KARLI MARIE MILLER AGACNP
Practice Location Address:

506 6TH ST
BROOKLYN, NY
11215-3609

Practice Phone: 718-780-7700
Practice Fax: 646-967-4106

1952176612 — JACLYNN SHAOLYNN CHEN CNM
Practice Location Address:

1224 8TH AVE
BROOKLYN, NY
11215-5106

Practice Phone: 718-853-5303
Practice Fax:

1295610327 — KIMBERLYN NORDIA BROOKS
Practice Location Address:

515 6TH ST
BROOKLYN, NY
11215-3608

Practice Phone: 718-780-3000
Practice Fax:

Directions to “ MR. MARK C RYAN LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.