Individual
MS. RYAN MARIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 920-8278
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 920-8278
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
22 603298
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382346
NY
Other
Enumeration date
09/24/2012
Last updated
10/14/2015
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