Individual
DANIEL RYAN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(917) 837-7914
Mailing address
5 E 98TH ST FL 8, NEW YORK, NY 10029-6501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023489
NY
363A00000X
Physician Assistant
—
CT
Other
Enumeration date
06/29/2017
Last updated
01/10/2023
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