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NPI Code Detail

MEDICARE: SUZANNE C RYAN

MEDICARE: SUZANNE C RYAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist018210NY

General Provider Information

NPI Number : 1093960122
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE C RYAN
Provider Business Mailing Address
First Line : 61 COLONIAL PKWY N
Second Line :
City : YONKERS
State : NY
Zip : 10710-3107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 CEDAR ST
Second Line : SUITE 302
City : NEW ROCHELLE
State : NY
Zip : 10801-5247
Country : US
Telephone Number : 914-576-5292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2008
Last Update Date : 11/17/2008

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Directions to “ SUZANNE C RYAN ” Practice Location

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