Individual
BRYAN KYLE RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 GREENFIELD PKWY, LIVERPOOL, NY 13088-6655
(315) 445-8166
(315) 445-2697
Mailing address
200 GREENFIELD PKWY, LIVERPOOL, NY 13088-6655
(315) 445-8166
(315) 445-2697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
203254
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
203254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01668437
—
NY
Enumeration date
09/22/2005
Last updated
08/21/2020
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