# RYAN JAMES PARNELL DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225763139
- **Authorized official:** RYAN PARNELL DO (OWNER)
- **Authorized official phone:** (631) 271-9151

## Contact information

- **Practice address:** 40 SEWARD DR, DIX HILLS, NY 11746-7908
- **Practice address phone:** (631) 271-9151
- **Practice address fax:** (631) 271-9155
- **Mailing address:** 40 SEWARD DR, DIX HILLS, NY 11746-7908
- **Mailing address phone:** (631) 271-9151
- **Mailing address fax:** (631) 271-9155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2022
- **Last updated:** 07/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 285620 | LICENSE | NY |