Individual
RYAN L. D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7075 MANLIUS CENTER RD, EAST SYRACUSE, NY 13057-2607
(315) 446-3668
(315) 849-1182
Mailing address
7075 MANLIUS CENTER RD, EAST SYRACUSE, NY 13057-2607
(315) 446-3668
(315) 849-1182
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006349
NY
213ES0131X
Foot Surgery Podiatrist
65 006349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03294906
—
NY
Enumeration date
04/30/2010
Last updated
05/01/2019
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