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Individual
RYAN PEZZANO
Active
Individual
RYAN PEZZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021667-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02329380
—
NY
01
—
P00467114
RAILROAD MEDICARE
NY
Enumeration date
12/15/2005
Last updated
04/05/2018
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