Individual provider · Type 1 NPI

Randall Garth Ryan, NP

Family Nurse Practitioner · Wheatley Heights, NY

NPI number 1124489455 Active

Practice location

16 Barrington Dr
Wheatley Heights, NY 11798-1302

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF340109-1 (NY)
Primary Care Nurse Practitioner 363LP2300XF340109-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1124489455

Randall Garth Ryan, NP's National Provider Identifier is 1124489455, issued on Mar 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wheatley Heights, NY. The record was last updated on Mar 15, 2016.