Dr Lycia Ryder, DO | |
2701 Sunrise Hwy, Islip Terrace, NY 11752-2642 | |
(631) 638-2375 | |
Not Available |
Full Name | Dr Lycia Ryder |
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Gender | Female |
Speciality | Pediatrics |
Location | 2701 Sunrise Hwy, Islip Terrace, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326051566 | NPI | - | NPPES |
643Z81 | Other | NY | EMPIRE BC.BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 231408 (New York) | Primary |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Mailing Address | Practice Location Address |
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Dr Lycia Ryder, DO Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Dr Lycia Ryder, DO 2701 Sunrise Hwy, Islip Terrace, NY 11752-2642 Ph: (631) 638-2375 |
Dr. Julia I Ordonez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Sunrise Hwy, Stony Brook Children's Services Ufpc, Islip Terrace, NY 11752 Phone: 631-638-2375 Fax: 631-581-9561 | |
Dr. Rizwana Shams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 Sunrise Hwy, Islip Terrace, NY 11752 Phone: 631-638-2375 | |
Samantha Erin Feld-ansbach, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2701 Sunrise Hwy, Islip Terrace, NY 11752 Phone: 631-638-2375 |