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Individual
AUGUSTINE JOHN RYAN JR.
Active
Individual
AUGUSTINE JOHN RYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
143304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010152901
EXCELLUS UNIVERA
NY
01
—
005107711
HEALTH NOW
NY
05
—
01174249
—
NY
01
—
2207620
INDEPENDENT HEALTH
NY
Enumeration date
09/26/2006
Last updated
01/28/2011
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