Provider Demographics
NPI:1972615755
Name:CONNELL, RYAN (MD)
Entity Type:Individual
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First Name:RYAN
Middle Name:
Last Name:CONNELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2365 CLINTON AVE S
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2663
Mailing Address - Country:US
Mailing Address - Phone:585-442-5320
Mailing Address - Fax:585-442-5526
Practice Address - Street 1:101 CANAL LANDING BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5109
Practice Address - Country:US
Practice Address - Phone:585-239-7300
Practice Address - Fax:585-227-7723
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-09-07
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Provider Licenses
StateLicense IDTaxonomies
NY248730207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine