Provider / Organization | NPI | Date Certified |
---|---|---|
RAY RYAN MIN | 1659801843 | 2022-06-19 |
Ray R Min [M] graduated in 2017 and primarily specializes in Family Medicine.
Ray Ryan Min is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659801843. Registration indicates Ray Ryan Min is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
PECOS ID | 749526093 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Ray Ryan Min DO |
Practice Office Address | 185 BROADWAY FL 2 NEW YORK, NY US |
Practice Office Telephone | 8886636331 |
Practice Office Fax | 2128674353 |
Mailing Address | 129 W 29TH ST FL 10 NEW YORK, NY 100015105 US |
Business Telephone | 4156586791 |
Business Fax | 4155200904 |
Address | City / State | Phone / Fax |
---|---|---|
1000 Montauk Hwy | West Islip, NY 117954927 | 6312037641 / 6312037634 |
408 W 14th St Ste 201 | New York, NY 100141042 | 2125300639 / 2128674353 |
Code | Practice | License No State |
---|---|---|
390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 303206
NY |