Healthcare Provider Details

I. General information

NPI: 1427961036
Provider Name (Legal Business Name): RYAN SINCEBAUGH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 STATE ROUTE 370
CATO NY
13033-3384
US

IV. Provider business mailing address

2851 STATE ROUTE 370
CATO NY
13033-3384
US

V. Phone/Fax

Practice location:
  • Phone: 315-626-3439
  • Fax: 315-626-3321
Mailing address:
  • Phone: 315-626-3439
  • Fax: 315-626-3321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number752581
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: