Individual provider · Type 1 NPI

John Patrick Ryan Iv, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Albany, NY

NPI number 1275616070 Active

Practice location

43 New Scotland Ave
Albany, NY 12208-3478

Mailing address

70 Valley Dr
West Sand Lake, NY 12196-1739

Other practice locations

  • 315 So Manning Blvd, Surgery Dept, Albany, NY 12208 · (518) 525-1550

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X090042 (NY)
Surgical Physician Assistant Primary 363AS0400X090042 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1275616070

John Patrick Ryan Iv, PHYSICIAN ASSISTANT's National Provider Identifier is 1275616070, issued on Oct 23, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, NY. The record was last updated on Oct 2, 2019.