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Individual

DENA GOURLEY RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP - BC

Contact information

Practice address
1320 YORK AVE STE 605, NEW YORK, NY 10021-4800
(212) 746-3278
Mailing address
19 ANTONY RD, WHITE PLAINS, NY 10605-2905
(623) 810-6554

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342501
NY

Other

Enumeration date
08/09/2018
Last updated
07/02/2021
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