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Individual

DIANE P RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3435 BAILEY AVE, BUFFALO, NY 14215-1145
(716) 835-2966
(716) 834-3901
Mailing address
3435 BAILEY AVE, BUFFALO, NY 14215-1145
(716) 835-2966
(716) 834-3901

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334222-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027603901
UNIVERA
NY
01
000560507006
BC/BS OF WNY
NY
05
02780798
NY
01
161573456
COMMERCIAL INSURANCES
01
9512761
INDEPENDENT HEALTH
NY
Enumeration date
08/08/2006
Last updated
08/23/2014
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