# C.M. RYAN NURSE PRACTITIONER ADULT HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** C M Ryan NP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487922910
- **Authorized official:** MRS. CLAUDETTE MINTO RYAN ANP (ANP)
- **Authorized official phone:** (646) 522-3502

## Contact information

- **Practice address:** 8 VALLEY FORGE DR, WHEATLEY HEIGHTS, NY 11798-1215
- **Practice address phone:** (646) 522-3502
- **Mailing address:** 8 VALLEY FORGE DR, WHEATLEY HEIGHTS, NY 11798-1215
- **Mailing address phone:** (646) 522-3502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 304651 | NY | Yes |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 12/12/2011