Individual
MR. MATTHEW MICHAEL RYAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N./E.M.T.-B
Contact information
Practice address
189 FRONT ST, DEPOSIT, NY 13754-1127
(607) 467-6303
Mailing address
189 FRONT ST, DEPOSIT, NY 13754-1127
(607) 467-6303
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
625623
NY
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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