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Organization
RYAN CHIROPRACTIC PLLC
Active
Organization
RYAN CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W RYAN DC (CHIROPRACTOR)
(315) 539-3262
Entity
Organization
Contact information
Practice address
2374 MOUND RD RTE 414, WATERLOO, NY 13165
(315) 539-3262
(315) 539-5221
Mailing address
PO BOX 664, WATERLOO, NY 13165
(315) 539-3262
(315) 539-5221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0054062
NY
111N00000X
Chiropractor
X0061021
NY
111N00000X
Chiropractor
X010083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101865AN
PREFERRED CARE
—
01
—
101869AN
PREFERRED CARE
—
01
—
5211586
AETNA
—
01
—
7153201
AETNA
—
Enumeration date
11/27/2006
Last updated
10/31/2007
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