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Individual
DR. RENEE ANNE RYAN
Active
Individual
DR. RENEE ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
248246
NY
207Q00000X
Family Medicine Physician
Primary
248246-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03027323
—
NY
01
—
204500162
BLUE SHIELD
NY
Enumeration date
05/15/2008
Last updated
02/20/2012
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