Individual
CAROLYN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 GRACE CT, AMITYVILLE, NY 11701-3640
(631) 974-1480
Mailing address
28 GRACE CT, AMITYVILLE, NY 11701-3640
(631) 974-1480
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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