Provider Demographics
NPI:1992787113
Name:BELL, RYAN A (MD)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:A
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 W 80TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7001
Mailing Address - Country:US
Mailing Address - Phone:646-962-8600
Mailing Address - Fax:469-620-0276
Practice Address - Street 1:232 W 80TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-7001
Practice Address - Country:US
Practice Address - Phone:646-962-8600
Practice Address - Fax:646-962-0027
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03652260Medicaid
NYA400090954Medicare PIN