Provider Demographics
NPI:1558316141
Name:RYBACK, HYMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HYMAN
Middle Name:
Last Name:RYBACK
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 1:560 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5113
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:
Practice Address - Street 1:222 BLOOMINGDALE RD FL 2
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-949-3888
Practice Address - Fax:914-949-1271
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129907207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB13394Medicare UPIN
NYWX0402Medicare ID - Type Unspecified