Individual
ELIZABETH ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 RESEARCH WAY, EAST SETAUKET, NY 11733-3487
(631) 444-4666
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304912
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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