Ryan, Carolyn Teresa
Ryan, Carolyn Teresa is an sole proprietor health care provider with primary practice located at 3 Malcolm St , West Babylon NY 11704-8023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Ryan, Carolyn Teresa can be contacted via phone (631) 988-0667.Contact Information
Primary practice address
3 Malcolm St
West Babylon NY 11704-8023
Phone: (631) 988-0667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 002330 | New York |
Profile Details
| NPI number | 1689233553 |
|---|---|
| LBN Legal business name | Ryan, Carolyn Teresa |
| Credentials | M.A., LCAT, ATR-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2019 |
| Last updated | Jun 13th, 2019 - about 7 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 | 1689233553 | NPPES |
| New York | MEDICAID | 002330 |
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