Individual
MR. BERNARD JAY RYAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1110 ABBOTT RD, BUFFALO, NY 14220-2752
(716) 821-1339
(716) 821-1339
Mailing address
PO BOX 858, 7008 ERIE ROAD, DERBY, NY 14047-0858
(716) 947-2009
(716) 947-2010
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
025376-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000628421001
BLUE CROSS & BLUE SHIELD
NY
Enumeration date
05/25/2006
Last updated
07/08/2007
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