Individual
AUGUSTINE JOHN RYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(719) 961-9900
(716) 961-9911
Mailing address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 961-9900
(716) 961-9911
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
143304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010152901
EXCELLUS UNIVERA
NY
01
—
005107711
HEALTH NOW
NY
05
—
01174249
—
NY
01
—
2207620
INDEPENDENT HEALTH
NY
Enumeration date
09/26/2006
Last updated
01/28/2011
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