Provider Demographics
NPI:1336309855
Name:CARTER, RYALYNN M (MD)
Entity Type:Individual
Prefix:
First Name:RYALYNN
Middle Name:M
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:161 FORT WASHINGTON AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:855-756-2496
Mailing Address - Fax:212-305-4025
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 2700
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-493-2250
Practice Address - Fax:914-493-2060
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT193592207V00000X
NY277006207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03951580Medicaid
NYA400110418Medicare PIN