Individual
RYAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6880
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014154-1
NY
Other
Enumeration date
08/23/2010
Last updated
08/25/2010
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