Individual
MR. RYAN JOHN BANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(848) 448-3305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
616470
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
616470
NY
Other
Enumeration date
07/09/2014
Last updated
05/12/2023
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