Individual
MARINA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1625 LOUIS KOSSUTH AVE, BOHEMIA, NY 11716-1511
(631) 766-1124
Mailing address
1625 LOUIS KOSSUTH AVE, BOHEMIA, NY 11716-1511
(631) 766-1124
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406930-01
NY
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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