Individual
RYAN DINNENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 EMMET AVE, STATEN ISLAND, NY 10306-2719
(917) 757-9023
Mailing address
19 EMMET AVE, STATEN ISLAND, NY 10306-2719
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
042760
NY
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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