Individual
RYAN LEE BURYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621
(585) 922-3846
(585) 922-2951
Mailing address
100 KINGS HIGHWAY SOUTH, PROVIDER ENROLLMENT, ROCHESTER, NY 14617-5504
(585) 922-1304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
294700
NY
207P00000X
Emergency Medicine Physician
5101021082
MI
Other
Enumeration date
06/12/2014
Last updated
08/18/2022
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