Individual
CLARICE ELIZABETH RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 467-2230
Mailing address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 467-2230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
5565
NY
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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