Ryan J Blackwell

NPI #1164996948 in Cooperstown, New York

Provider Information

NPI Number: 1164996948
Entity Type: Individual
Name: Ryan J Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 15, 2019
Last Updated: Nov 19, 2025

Practice Location

Address: 1 ATWELL RD
City: Cooperstown
State: New York
ZIP Code: 13326
Phone: (607) 547-3672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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