Individual
GERARD RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 OLD COUNTRY RD, SUITE # 315, GARDEN CITY, NY 11530-1901
(516) 280-7285
(516) 280-7286
Mailing address
500 OLD COUNTRY RD, SUITE # 315, GARDEN CITY, NY 11530-1901
(516) 280-7285
(516) 280-7286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CASAC 29296
NY
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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