Healthcare Provider Details

I. General information

NPI: 1386038560
Provider Name (Legal Business Name): RYAN CHRISTOPHER DENLEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 12/01/2023
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 READE PL FL 2
POUGHKEEPSIE NY
12601-3947
US

IV. Provider business mailing address

100 RESERVE RD
DANBURY CT
06810-5267
US

V. Phone/Fax

Practice location:
  • Phone: 845-483-6001
  • Fax: 845-483-6002
Mailing address:
  • Phone: 845-475-9661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MB10256100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number298454
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number298454
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: