Provider Demographics
NPI:1710013586
Name:TURNER, RYAN BERNARD (MD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:BERNARD
Last Name:TURNER
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 1:59 E 54TH ST
Mailing Address - Street 2:LBBY #3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4211
Mailing Address - Country:US
Mailing Address - Phone:212-644-8581
Mailing Address - Fax:212-644-8583
Practice Address - Street 1:59 E 54TH ST
Practice Address - Street 2:LBBY #3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4211
Practice Address - Country:US
Practice Address - Phone:212-644-8581
Practice Address - Fax:212-644-8583
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248899207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A400021450Medicare PIN