Provider Demographics
NPI:1679163760
Name:RYBAC, DARYA (CRNP)
Entity Type:Individual
Prefix:
First Name:DARYA
Middle Name:
Last Name:RYBAC
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:179 INDEPENDENCE RD
Mailing Address - Street 2:
Mailing Address - City:E STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-9207
Mailing Address - Country:US
Mailing Address - Phone:570-421-8526
Mailing Address - Fax:704-217-8995
Practice Address - Street 1:179 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9207
Practice Address - Country:US
Practice Address - Phone:570-421-8526
Practice Address - Fax:570-421-7899
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023101207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine