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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 6979 (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.