Individual
AUDREY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6255 SHERIDAN DR STE 200, WILLIAMSVILLE, NY 14221-4825
(716) 564-1111
(716) 929-0194
Mailing address
6255 SHERIDAN DR STE 200, WILLIAMSVILLE, NY 14221-4825
(716) 636-7979
(716) 929-0192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030966
NY
Other
Enumeration date
06/23/2022
Last updated
02/02/2024
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