Individual
KATHLEEN MARY RYAN-GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
56 W MAIN ST, BAY SHORE, NY 11706-8327
(631) 206-1140
Mailing address
56 W MAIN ST, BAY SHORE, NY 11706-8327
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400133
NY
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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