Individual
EDWIN RYAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 STOCKADE DR, KINGSTON, NY 12401-3874
(845) 481-5029
Mailing address
400 STOCKADE DR, KINGSTON, NY 12401-3874
(845) 481-5029
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000050701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14000050701
NY STATE HEARING AID DISPENSER TRAINY LISC
NY
Enumeration date
03/15/2017
Last updated
03/15/2017
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