Provider Demographics
NPI:1538393822
Name:RYBSTEIN, MARC (MD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:RYBSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:340 DOGWOOD AVE.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010
Mailing Address - Country:US
Mailing Address - Phone:516-307-9617
Mailing Address - Fax:516-307-9621
Practice Address - Street 1:340 DOGWOOD AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3400
Practice Address - Country:US
Practice Address - Phone:516-307-9617
Practice Address - Fax:516-307-9621
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY253288207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease