Individual provider · Type 1 NPI

Matthew Ryan Fabian

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1235987579 Active · reactivated Jan 27, 2025

Practice location

953 Danby Road
Ithaca, NY 14850

Mailing address

503 Douglas Avenue
Toronto, ONTARIO M5M1H6

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235987579

Matthew Ryan Fabian's National Provider Identifier is 1235987579, issued on May 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on Jan 27, 2025.