Individual provider · Type 1 NPI

Ryan Connolly, PA

Surgical Physician Assistant · East Syracuse, NY

NPI number 1700289238 Active

Practice location

6620 Fly Rd, Ste 200
East Syracuse, NY 13057-9791

Fax (315) 464-5229

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X018048 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1700289238

Ryan Connolly, PA's National Provider Identifier is 1700289238, issued on Sep 29, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Syracuse, NY. The record was last updated on Sep 29, 2014.