MR. Matthew Ryan Fabian

NPI #1235987579 in Ithaca, New York

Provider Information

NPI Number: 1235987579
Entity Type: Individual
Name: MR. Matthew Ryan Fabian
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 10, 2024
Last Updated: Jan 27, 2025

Practice Location

Address: 953 DANBY ROAD
City: Ithaca
State: New York
ZIP Code: 14850
Phone: (607) 274-3011

Specialties & Taxonomy Codes

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

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