Provider Demographics
NPI:1053834879
Name:ZAGALSKY, RYAN (MS, APRN, AGACNP-BC)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:
Last Name:ZAGALSKY
Suffix:
Gender:M
Credentials:MS, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MAIDEN LN RM 500
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-5140
Mailing Address - Country:US
Mailing Address - Phone:929-630-4100
Mailing Address - Fax:929-630-4101
Practice Address - Street 1:6 MAIDEN LN RM 500
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5140
Practice Address - Country:US
Practice Address - Phone:929-630-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15283800163W00000X
NJ26NJ15025300363LA2100X
WARN60738684363LC0200X
WAAP60793280363LC0200X
NY642933163W00000X
NYF431176-01363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine