Individual provider · Type 1 NPI

Kathleen Teresa Ryan

Specialist · Holbrook, NY

NPI number 1053661439 Active

Practice location

38 Buckingham Dr
Holbrook, NY 11741-2880

Call (631) 738-0310 Map

Mailing address

16 Dogwood Dr
Smithtown, NY 11787-2211

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1121240 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053661439

Kathleen Teresa Ryan's National Provider Identifier is 1053661439, issued on Sep 13, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Holbrook, NY. The record was last updated on Sep 13, 2012.