Ryu, Samuel

Ryu, Samuel is an individual health care provider with primary practice located at 101 Nicolls Rd Levle 2 Radiation Oncology, Stony Brook NY 11794-7028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ryu, Samuel can be contacted via phone (631) 444-7770.

Contact Information

Primary practice address
101 Nicolls Rd Levle 2 Radiation Oncology Stony Brook NY 11794-7028
Phone: (631) 444-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301061949 Michigan
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 206648 New York

Profile Details

NPI number 1639239049
LBN Legal business name Ryu, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated May 2nd, 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 1639239049 NPPES
Other SR061949 COMMERCIAL-COMMERCIAL NUMBER
Other 700H262320 COMMERCIAL-COMMERCIAL NUMBER
Other SR061949 COMMERCIAL-COMMERCIAL NUMBER
MEDICAID 415031010 COMMERCIAL-COMMERCIAL NUMBER

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