Individual
DR. STEPHEN DENNIS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1415 PORTLAND AVE, ROCHESTER, NY 14621-3038
(585) 922-2800
(585) 922-2864
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
206383
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
206383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206383
—
NY
Enumeration date
06/01/2005
Last updated
04/15/2019
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