- Practice location
- 16 Brentwood Dr, Ithaca, NY 14850-1863
- Phone
- 607-272-7000
- Fax
- —
- Last updated
- November 12, 2020
Ryan Reno Dirienzo is a Physician Assistant based in Ithaca, NY. Ryan Reno Dirienzo practices in Ithaca, NY and has the professional credentials of PA-C. The NPI Number for Ryan Reno Dirienzo is 1205464344 and holds a License No. 025842-01 (NY). The current practice location address for Ryan Reno Dirienzo is 16 Brentwood Dr, Ithaca, NY 14850-1863 and can be reached out via phone at 607-272-7000.
Provider Profile Details
- NPI Number
- 1205464344
- Provider Name
- Ryan Reno Dirienzo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 16 Brentwood Dr, Ithaca, NY 14850-1863
- Phone Number
- 607-272-7000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2020
- Last Update Date
- November 12, 2020
- Certification Date
- November 12, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Brentwood Dr
Ithaca, NY 14850-1863 - City
- Ithaca
- State
- New York
- Zip
- 14850-1863
- Phone Number
- 607-272-7000
Provider Business Mailing Address Details
- Address
- 1 Eldorado Dr Apt D
Trumansburg, NY 14886-9333 - City
- Trumansburg
- State
- NY
- Zip
- 14886-9333
- Phone Number
- 860-543-5528
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 025842-01
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ryan R Dirienzo, PA-C?
The NPI number of Ryan R Dirienzo, PA-C is 1205464344. It was assigned on April 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Ryan R Dirienzo, PA-C?
Ryan R Dirienzo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 025842-01.
Where does Ryan R Dirienzo, PA-C practice?
The practice location is 16 Brentwood Dr, Ithaca, NY 14850-1863. The office can be reached at 607-272-7000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205464344 directly on the NPPES registry website.