Individual
ANN MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
962 E 107TH ST, BROOKLYN, NY 11236-3014
(347) 327-5532
Mailing address
962 E 107TH ST, BROOKLYN, NY 11236-3014
(347) 327-5532
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303447-1
NY
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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