MRS. Kathleen Teresa Ryan

NPI #1053661439 in Holbrook, New York

Provider Information

NPI Number: 1053661439
Entity Type: Individual
Name: MRS. Kathleen Teresa Ryan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 13, 2012
Last Updated: Sep 13, 2012

Practice Location

Address: 38 BUCKINGHAM DR
City: Holbrook
State: New York
ZIP Code: 11741-2880
Phone: (631) 738-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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