Individual
MR. JOHN PATRICK RYAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-3494
Mailing address
70 VALLEY DR, W SAND LAKE, NY 12196-1739
(518) 674-5041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
090042
NY
363AS0400X
Surgical Physician Assistant
Primary
090042
NY
Other
Enumeration date
10/23/2006
Last updated
10/02/2019
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