Individual provider · Type 1 NPI
Charles Joseph Ryan Iii, MD
Vascular Surgery Physician · Skaneateles, NY
NPI number
1891036778
Active
Practice location
3077 E Lake Rd
Skaneateles, NY 13152-9024
Fax (315) 685-5833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 176888-1 (NY) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1891036778
Charles Joseph Ryan Iii, MD's National Provider Identifier is 1891036778, issued on Mar 2, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Skaneateles, NY. The record was last updated on Mar 2, 2013.