Provider Demographics
NPI:1497909592
Name:KNARR, RYAN PAUL (MS, RD, CDN, CNSC)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:PAUL
Last Name:KNARR
Suffix:
Gender:M
Credentials:MS, RD, CDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E ADAMS ST STE 2407B
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-4304
Mailing Address - Fax:315-464-4301
Practice Address - Street 1:750 E ADAMS ST STE 2407B
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-4304
Practice Address - Fax:315-464-4301
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2024-02-06
Deactivation Date:2017-12-11
Deactivation Code:
Reactivation Date:2018-02-06
Provider Licenses
StateLicense IDTaxonomies
NY009232133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered