Individual
RYAN DANIEL FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE STREET BOX #800793, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1955
(434) 245-2010
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 231-8373
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
342004
NY
207VM0101X
Maternal & Fetal Medicine Physician
342004
NY
390200000X
Student in an Organized Health Care Education/Training Program
0116037534
VA
Other
Enumeration date
03/26/2019
Last updated
05/10/2026
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