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Contact Information

SAMUEL RYU, MD
101 NICOLLS RD
LEVLE 2 RADIATION ONCOLOGY
STONY BROOK, NY11794-7028
 Phone: 631-444-7770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SAMUEL RYU · (Male)

NPI # 1639239049
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2006
Last updated 05/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301061949
  • NY License # 206648
  • MI Medicaid 415031010
  • Other 700H262320 BLUE CROSS-BLUE CROSS
  • Other SR061949 CHAMPUS-CHAMPUS
  • Other SR061949 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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