person
Mr. Randall Garth Ryan, NP
Primary Care Nurse Practitioner in Wheatley Heights, New York
NPI 1124489455

Randall Garth Ryan is a Primary Care Nurse Practitioner based in Wheatley Heights, NY and is specialized in Primary Care. Randall Garth Ryan practices in Wheatley Heights, NY and has the professional credentials of NP. The NPI Number for Randall Garth Ryan is 1124489455 and holds a License No. F340109-1 (New York).

The current practice location address for Randall Garth Ryan is 16 Barrington Dr, Wheatley Heights, NY and can be reached out via phone at 347-247-4491.

Location: 16 Barrington Dr, Wheatley Heights, NY, 11798-1302
person
Provider Profile Details
NPI Number
1124489455
Provider Name
Randall Garth Ryan
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
16 Barrington Dr, Wheatley Heights, NY, 11798-1302
Phone Number
347-247-4491
Fax Number
Provider Enumeration Date
03/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F340109-1 01 NY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
16 Barrington Dr
City
State
Zip
11798-1302
Phone Number
347-247-4491
Fax Number
person
Provider Business Mailing Address Details
Address
16 Barrington Dr
City
State
Zip
11798-1302
Phone Number
347-247-4491
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F340109-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
F340109-1 (New York)
Definition
Definition to come...
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