Individual
MR. CODY T RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 N 2ND ST, BETHPAGE, NY 11714-2102
(516) 993-8297
Mailing address
188 N 2ND ST, BETHPAGE, NY 11714-2102
(516) 993-8297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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