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Individual

ANNE BOWMAN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
167 SULLYS TRL, STE 100, PITTSFORD, NY 14534-4567
(585) 758-0800
(585) 381-1577
Mailing address
167 SULLYS TRL, STE 100, PITTSFORD, NY 14534-4567
(585) 758-0800
(585) 381-1577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
271348
NY
208000000X
Pediatrics Physician
271348
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04186403
NY
Enumeration date
03/29/2011
Last updated
04/17/2017
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