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Ryan Canedo
Psychiatric/Mental Health Registered Nurse in Northport, New York
NPI 1942665724

Ryan Canedo is a Psychiatric/Mental Health Registered Nurse based in Northport, NY and is specialized in Psychiatric/Mental Health. Ryan Canedo practices in Northport, NY. The NPI Number for Ryan Canedo is 1942665724 and holds a License No. NYCPS-P-225 (New York).

The current practice location address for Ryan Canedo is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-261-4400.

Location: 79 Middleville Rd, Northport, NY, 11768-2296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942665724
Provider Name
Ryan Canedo
Credential
Provider Entity Type
Individual
Gender
Male
Address
79 Middleville Rd, Northport, NY, 11768-2296
Phone Number
631-261-4400
Fax Number
Provider Enumeration Date
12/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
755628 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
NYCPS-P-225 (New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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