Individual
ELIZABETH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
819 W MAIN ST, ROCHESTER, NY 14611-2334
(585) 235-0360
Mailing address
819 W MAIN ST, ROCHESTER, NY 14611-2334
(585) 235-0360
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02708730
—
NY
Enumeration date
08/03/2006
Last updated
03/03/2015
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