Individual
CAROL A RYAN-BEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 WOODLAND AVE, EAST ISLIP, NY 11730
(631) 477-1603
Mailing address
P.O. BOX 299, EAST ISLIP, NY 11730
(631) 477-1603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
261259-1
NY
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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