Individual
RYAN SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 READE PL FL 3, POUGHKEEPSIE, NY 12601
(845) 483-6920
(845) 483-6922
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9794583
NY
2086X0206X
Surgical Oncology Physician
Primary
282412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04358343
—
NY
05
—
1922325539
—
NC
05
—
5915328
—
NC
05
—
NC1142
—
SC
Enumeration date
04/23/2010
Last updated
06/27/2018
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