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NPI Code Detail

MEDICARE: MR. RYAN MORT

MEDICARE: MR. RYAN MORT
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
1237700000XHearing Instrument Specialist14000072344NY

General Provider Information

NPI Number : 1366123895
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN MORT
Provider Business Mailing Address
First Line : 105 CANAL LANDING BLVD STE 7
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-5107
Country : US
Telephone Number : 585-360-2540
Fax Number : 585-360-2571
Provider Business Practice Location Address
First Line : 105 CANAL LANDING BLVD STE 7
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-5107
Country : US
Telephone Number : 585-360-2540
Fax Number : 585-360-2570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 03/05/2026

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