Individual
MS. DIANE M RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
164 N FOSTERTOWN DR, NEWBURGH, NY 12550-8713
(845) 565-5780
Mailing address
164 N FOSTERTOWN DR, NEWBURGH, NY 12550-8713
(845) 565-5780
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
507773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551715
—
NY
Enumeration date
07/15/2007
Last updated
07/15/2007
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