Individual
MADELAINE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 567-7482
(518) 562-7118
Mailing address
2 SARACHON RD, CHAZY, NY 12921-2322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
672944
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
352040F
NY
Other
Enumeration date
05/31/2023
Last updated
10/26/2023
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