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NPI Code Detail

MEDICARE: MR. RYAN MCNERNEY COMS

MEDICARE: MR. RYAN MCNERNEY COMS
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
1225CX0006XOrientation and Mobility Training Rehabilitation Counselor7654NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17654OTHERACVREP

General Provider Information

NPI Number : 1912370453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN MCNERNEY COMS
Provider Business Mailing Address
First Line : 1170 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14209-2331
Country : US
Telephone Number : 716-888-4595
Fax Number :
Provider Business Practice Location Address
First Line : 1170 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14209-2331
Country : US
Telephone Number : 716-888-4595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2015
Last Update Date : 11/05/2015

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