Ryder, Philip

Ryder, Philip is an sole proprietor health care provider with primary practice located at 596 Center Briarwood Ave , West Islip NY 11795-4004. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ryder, Philip can be contacted via phone (191) 449-7291.

Contact Information

Primary practice address
596 Center Briarwood Ave West Islip NY 11795-4004
Phone: (191) 449-7291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 002240 New York

Profile Details

NPI number 1902531593
LBN Legal business name Ryder, Philip
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2022
Last updated Jul 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902531593 NPPES
New York Other 2000002396 ATHLETIC TRAINER
New York Other 2000002396 ATHLETIC TRAINER

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