MRS. JULIA RYDER


Address: 256 Olympia Blvd, Staten Island, NY 10305-4240
Phone: 7189097693

MRS. JULIA RYDER (NPI# 1316283559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316283559
Entity Type Individual
Full Name MRS. JULIA RYDER
Credential M.S.
Practice Address 256 Olympia Blvd
Staten Island
NY 10305-4240
Practice Telephone 7189097693
Enumeration Date 2012-12-17
Last Update Date 2012-12-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 256 OLYMPIA BLVD
City STATEN ISLAND
State NY
Zip Code 10305-4240

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1396235131 Samyak Hiteshkumar Dhruv Student in an Organized Health Care Education/Training Program 475 Seaview Avenue, Staten Island, NY 10305 2018-05-17
1720583404 Michele Corrado Nurse Practitioner 27 Xenia St, Staten Island, NY 10305 2018-03-26
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336696574 Diana M Dawson Psychologist 23 Forrestal Ct, Staten Island, NY 10312-1914 2016-09-06
1386022275 Mary Rizk Psychologist 26 Globe Ave, Staten Island, NY 10314-7246 2015-05-11
1255739975 Dmitriy Keselman Psychologist 210 Finley Ave, Staten Island, NY 10306-5649 2014-12-11
1073927760 Evelina Ostrov Psychologist 319 Jefferson Ave, Staten Island, NY 10306-5222 2014-06-20
1497189690 Trisha J Arkoi Psychologist 135 Arnold St, Staten Island, NY 10301-2236 2013-08-25
1508128141 Freddy N Posadas Psychologist 522 Melyn Pl, Staten Island, NY 10303-2612 2012-06-11
1104185156 Laura Martino Psychologist 94 Collfield Avenue, Staten Island, NY 10302-2419 2012-05-11
1639466931 Danielle M Marks Psychologist 33 Chesebrough Street, Staten Island, NY 10312-1709 2011-07-07
1255623849 Tamara Bumshteyn Psychologist 136 Sandalwood Dr, Staten Island, NY 10308-1848 2011-05-13
1467769810 Lina Percaccio Psychologist 10 Joline Lane, Staten Island, NY 10307 2010-09-07
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Competitor

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City STATEN ISLAND
Zip Code 10305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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