Provider Demographics
NPI:1992744668
Name:ARAYATA, RICARDO B (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:B
Last Name:ARAYATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:560 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 615
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-6802
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:914-425-0480
Practice Address - Street 1:145 HUGUENOT ST
Practice Address - Street 2:SUITE 610
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5200
Practice Address - Country:US
Practice Address - Phone:914-500-6098
Practice Address - Fax:914-235-1896
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2016-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY130435-1207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00054401OtherRAILROAD MEDICARE
NY00238835Medicaid
NY00238835Medicaid
NYP00054401OtherRAILROAD MEDICARE