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Individual

DR. RYAN KENNETH BREUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
818 ELLICOTT ST, BUFFALO, NY 14203-1021
(716) 323-0200
(716) 323-0293
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0200
(716) 323-0293

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
276100
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
276100
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03923475
NY
Enumeration date
06/16/2008
Last updated
09/09/2021
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