Individual provider · Type 1 NPI

Ryan Benjamin Mirchin, DO

Student in an Organized Health Care Education/Training Program · Flushing, NY

NPI number 1679154462 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 670-1507 Map

Mailing address

18219 Horace Harding Expy
Fresh Meadows, NY 11365-2242

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X322081 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679154462

Ryan Benjamin Mirchin, DO's National Provider Identifier is 1679154462, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on Nov 3, 2024.