Individual
DR. RYAN PAUL BRECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER GENERAL HOSPITAL: EMERGENCY MEDICINE, ROCHESTER, NY 14621-3001
(585) 922-3846
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
244431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400003506
MEDICARE PTAN
—
Enumeration date
06/06/2007
Last updated
06/30/2023
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