Provider Demographics
NPI:1548274301
Name:NOY, RON (MD)
Entity type:Individual
Prefix:
First Name:RON
Middle Name:
Last Name:NOY
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 1:424 MADISON AVE.
Mailing Address - Street 2:9TH FL.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:646-862-0180
Mailing Address - Fax:646-862-0187
Practice Address - Street 1:424 MADISON AVE
Practice Address - Street 2:9TH FL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1106
Practice Address - Country:US
Practice Address - Phone:646-862-0180
Practice Address - Fax:646-862-0187
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189968174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4C0693OtherHEALTHNET
NY410G62OtherEMPIRE BCBS
NYP2525143OtherOXFORD
NYP2525143OtherOXFORD
NY410G62OtherEMPIRE BCBS