Individual
MARCIA H RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1304 BUCKLEY RD, SYRACUSE, NY 13212-4302
(315) 478-3311
(315) 426-0796
Mailing address
1304 BUCKLEY RD, SYRACUSE, NY 13212-4302
(315) 478-3311
(315) 426-0796
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
301863
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000923427001
HEALTHNOW PROVIDER NUMBER
NY
Enumeration date
11/22/2005
Last updated
07/08/2007
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