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Dr. Megan Lola Ridley-lane, MD
Retina Specialist (Ophthalmology) Physician in New York, New York
NPI 1619237443

Megan Lola Ridley-lane is a Retina Specialist (Ophthalmology) Physician based in New York, NY and is specialized in Retina Specialist. Megan Lola Ridley-lane practices in New York, NY and has the professional credentials of MD. The NPI Number for Megan Lola Ridley-lane is 1619237443 and holds a License No. (New York).

The current practice location address for Megan Lola Ridley-lane is 635 W 165Th St, New York, NY and can be reached out via phone at 212-305-3015.

Location: 635 W 165Th St, New York, NY, 10032-3724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619237443
Provider Name
Megan Lola Ridley-lane
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
635 W 165Th St, New York, NY, 10032-3724
Phone Number
212-305-3015
Fax Number
Provider Enumeration Date
05/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04408706 05 NY
institution
Provider Business Practice Location Address Details
Address
635 W 165Th St
City
New York
State
New York
Zip
10032-3724
Phone Number
212-305-3015
Fax Number
person
Provider Business Mailing Address Details
Address
635 W 165Th St
City
New York
State
New York
Zip
10032-3724
Phone Number
212-305-3015
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
283149 (New York)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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