Provider Demographics
NPI:1598999021
Name:RYAN, EILEEN ANN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:ANN
Last Name:RYAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E 32ND ST
Mailing Address - Street 2:11TH FLOOR C/O LEXINGTON OBGYN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6055
Mailing Address - Country:US
Mailing Address - Phone:212-686-8686
Mailing Address - Fax:212-686-1920
Practice Address - Street 1:145 E 32ND ST
Practice Address - Street 2:11TH FLOOR C/O LEXINGTON OBGYN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6055
Practice Address - Country:US
Practice Address - Phone:212-686-8686
Practice Address - Fax:212-686-1920
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334777363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily