Individual
MR. RYAN ECHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
318 SHEEP PASTURE RD, EAST SETAUKET, NY 11733-3611
(631) 879-8455
Mailing address
318 SHEEP PASTURE RD, EAST SETAUKET, NY 11733-3611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013351
NY
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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