Lilley, Ryan H
Lilley, Ryan H is an sole proprietor health care provider with primary practice located at 6 Technology Dr , East Setauket NY 11733-4079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lilley, Ryan H can be contacted via phone (631) 689-6698.Contact Information
Primary practice address
6 Technology Dr
East Setauket NY 11733-4079
Phone: (631) 689-6698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 020-873 | New York |
Profile Details
| NPI number | 1962932467 |
|---|---|
| LBN Legal business name | Lilley, Ryan H |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2017 |
| Last updated | Jun 15th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962932467 | NPPES |
| New York | Other | 020-873 | NEW YORK STATE EDUCATION DEPARTMENT |
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