Provider Demographics
NPI:1407907306
Name:RYBAK & ASSOCIATES, INC
Entity Type:Organization
Organization Name:RYBAK & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAYYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYBAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-475-3070
Mailing Address - Street 1:21821 LIBBY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6859
Mailing Address - Country:US
Mailing Address - Phone:216-475-3070
Mailing Address - Fax:888-277-5196
Practice Address - Street 1:21821 LIBBY RD STE 102
Practice Address - Street 2:
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-6859
Practice Address - Country:US
Practice Address - Phone:216-475-3070
Practice Address - Fax:216-475-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH185675343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2553204Medicaid
OH2880913Medicaid