Individual
MR. RYAN MICHAEL HOULIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
58 MARVIN LN, ISLIP, NY 11751-4209
(203) 525-4341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
703073
NY
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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