Individual
RYAN BUTZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4900 BROAD RD, STE 4C - NORTH, SYRACUSE, NY 13215
(315) 492-5804
Mailing address
4900 BROAD RD, STE 4C - NORTH, SYRACUSE, NY 13215
(315) 464-4189
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
297748
NY
207RP1001X
Pulmonary Disease Physician
Primary
297748
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
297748
NY
Other
Enumeration date
04/11/2016
Last updated
08/31/2023
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