Individual
PATRICK GERARD RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CARLYLE DR # 6A-SOUTH, CLIFFSIDE PARK, NJ 07010-3501
(646) 413-1956
Mailing address
100 CARLYLE DR # 6A-SOUTH, CLIFFSIDE PARK, NJ 07010-3501
(646) 413-1956
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307714
NURSE PRACTITIONER IN ADULT HEALTH
NY
Enumeration date
12/01/2019
Last updated
12/01/2019
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