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NPI Code Detail

MEDICARE: SEAN P. RYAN, MD

MEDICARE: SEAN P. RYAN, MD
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
1207V00000XObstetrics & Gynecology Physician216322NY

General Provider Information

NPI Number : 1194770545
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEAN P. RYAN, MD
Provider Business Mailing Address
First Line : 425 GUY PARK AVE
Second Line : SUITE 306
City : AMSTERDAM
State : NY
Zip : 12010-1043
Country : US
Telephone Number : 518-843-6613
Fax Number : 518-843-0171
Provider Business Practice Location Address
First Line : 425 GUY PARK AVE
Second Line : SUITE 306
City : AMSTERDAM
State : NY
Zip : 12010-1043
Country : US
Telephone Number : 518-843-6613
Fax Number : 518-843-0171
Authorized Official
Title or Position : MD/OWNER
Name : DR. SEAN P RYAN
Credential : M.D.
Telephone Number : 518-843-6613
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/10/2008

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Directions to “SEAN P. RYAN, MD ” Practice Location

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