Individual
SUSAN F RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NPP
Contact information
Practice address
209 PARK STREET, CITIZEN ADVOCATES, MALONE, NY 12953
(518) 483-3261
(518) 483-3383
Mailing address
8 CARTER COURT, PO BOX 905, DANNEMORA, NY 12929-0905
(518) 492-7066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
517230-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401323
NY
Other
Enumeration date
11/09/2006
Last updated
08/31/2010
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