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Individual
RYAN CAVANAUGH LADUKE
Active
Individual
RYAN CAVANAUGH LADUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA031095
DC
363A00000X
Physician Assistant
Primary
023917
NY
363A00000X
Physician Assistant
23917
NY
363A00000X
Physician Assistant
PA031095
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023917
THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
NY
01
—
CA1400053
CONTROLLED SUBSTANCE LICESNE
DC
01
—
PA031095
PHYSICIAN ASSISTANT LICENSE
DC
Enumeration date
11/10/2014
Last updated
07/03/2023
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