Individual provider · Type 1 NPI

Cory Ryan

Peer Specialist · Plattsburgh, NY

NPI number 1033056171 Active

Practice location

80 Sharron Ave
Plattsburgh, NY 12901-4700

Fax (518) 562-8812

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4528

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X6979 (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1033056171

Cory Ryan's National Provider Identifier is 1033056171, issued on Apr 29, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Plattsburgh, NY. The record was last updated on Apr 29, 2026.