Mark Rybakov, D.O.
Psychiatry & Neurology, Psychiatry in New York, NY. Individual provider (NPI-1).
NPI number1295037620
StatusActive
Last updated in NPPESMay 15, 2013
Details
- NPI
- 1295037620
- Entity type
- Individual (NPI-1)
- Name
- Mark Rybakov
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2010
- Last updated
- May 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 265393 | NY | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 25MB08829100 | NJ |
Practice location
57 Saint Marks PlUnitas
New York, NY 10003-7902
Phone 212-982-3470 · Fax 212-477-0521
Mailing address
57 Saint Marks PlNew York, NY 10003-7902
Phone 212-982-3470 · Fax 212-477-0521
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