Ryan, Elizabeth

Ryan, Elizabeth is an individual health care provider with primary practice located at 819 W Main St , Rochester NY 14611-2334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ryan, Elizabeth can be contacted via phone (585) 235-0360.

Contact Information

Primary practice address
819 W Main St Rochester NY 14611-2334
Phone: (585) 235-0360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380968 New York

Profile Details

NPI number 1255349601
LBN Legal business name Ryan, Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 3rd, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255349601 NPPES
New York MEDICAID 02708730

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