Dr. Ryan David Matisko
Physical Medicine & Rehabilitation Doctor
159 East 74th St, First Floor
New York
, New York 10021-1002
Dr. Ryan David Matisko
Physical Medicine & Rehabilitation Doctor
159 East 74th St, First Floor
New York
, New York 10021-1002
(917) 774-4600
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Ryan David Matisko
- 159 E 74th St Ste 3
- New York, NY
- Zip : 10021-3235
- Phone : (917) 774-4600
Second Address
- Dr. Ryan David Matisko
- 159 East 74th St, First Floor
- New York, NY
- Zip : 10021-1002
- Phone : (212) 439-1596
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 046564-01 | NY |
National Provider Identifier
| NPI | 1013513373 |
|---|---|
| Provider Name | Dr. Ryan David Matisko |
| First Address | New York, NY 10021-3235 |
| Second Address | New York, NY 10021-1002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/12/2020 |
| Last Update Date | 05/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.