Individual provider · Type 1 NPI

Ryan Scott Innes, PA-C

Physician Assistant · East Setauket, NY

NPI number 1750193124 Active

Practice location

6 Technology Dr Ste 100
East Setauket, NY 11733-4079

Call (631) 689-6698 Map

Fax (631) 751-5548

Other practice locations

  • 45 Whalen St, North Babylon, NY 11703-4421 · (631) 482-0504

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X033630 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750193124

Ryan Scott Innes, PA-C's National Provider Identifier is 1750193124, issued on Jan 23, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Setauket, NY. The record was last updated on Jul 18, 2025.