Individual
DR. MARY T RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
234 E 149TH ST, EMERGENCY DEPARTMENT, BRONX, NY 10451-5504
(718) 579-6010
(718) 579-4822
Mailing address
28 PIRATES CV, MASSAPEQUA, NY 11758-7727
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210264
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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