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Individual
MR. JOHN PATRICK RYAN IV
Active
Individual
MR. JOHN PATRICK RYAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
090042
NY
363AS0400X
Surgical Physician Assistant
Primary
090042
NY
Other
Enumeration date
10/23/2006
Last updated
10/02/2019
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