Ryan Reno Dirienzo, PA-C

NPI #1205464344 in Ithaca, New York

Provider Information

NPI Number: 1205464344
Entity Type: Individual
Name: Ryan Reno Dirienzo, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 1, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 16 BRENTWOOD DR
City: Ithaca
State: New York
ZIP Code: 14850-1863
Phone: (607) 272-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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