Individual
MR. RYAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
(585) 276-3700
Mailing address
300 CRITTENDEN BLVD, BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 276-3700
(585) 276-1903
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017897
NY
Other
Enumeration date
07/16/2014
Last updated
10/14/2025
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