Individual
DR. ADAM T RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPARTMENT OF RADIOLOGY STONY BROOK MEDICINE, HSC, LEVEL 4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-2484
(631) 444-7538
Mailing address
DEPARTMENT OF RADIOLOGY STONY BROOK MEDICINE, HSC, LEVEL 4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-2484
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT195342
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
12/22/2021
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