Healthcare Provider Details

I. General information

NPI: 1134038318
Provider Name (Legal Business Name): SEAMUS RYAN CHRISTIE RN, BSN, AGPCNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 WOODSIDE DR
ELMA NY
14059-9202
US

IV. Provider business mailing address

50 WOODSIDE DR
ELMA NY
14059-9202
US

V. Phone/Fax

Practice location:
  • Phone: 716-989-1140
  • Fax:
Mailing address:
  • Phone: 716-989-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number313018
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number313018
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number313018
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: