Individual
NICOLE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 693-4900
Mailing address
130 BAY RIDGE PKWY APT 6E, BROOKLYN, NY 11209-2314
(978) 604-8711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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