Individual provider · Type 1 NPI

Ryan William Logan

Physician Assistant · Brooklyn, NY

NPI number 1962030189 Active

Practice location

399 Knickerbocker Ave
Brooklyn, NY 11237-4101

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	PA9113132 (FL)
Physician Assistant Primary	363A00000X	025151 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962030189

Ryan William Logan's National Provider Identifier is 1962030189, issued on Apr 1, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Oct 1, 2026.