Provider Demographics
NPI:1255518742
Name:PANIAGUA-RYAN, AIMEE L (MD)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:L
Last Name:PANIAGUA-RYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:PANIAGUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:35 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3004
Mailing Address - Country:US
Mailing Address - Phone:914-661-7484
Mailing Address - Fax:914-206-3565
Practice Address - Street 1:35 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-3004
Practice Address - Country:US
Practice Address - Phone:914-661-7484
Practice Address - Fax:914-206-3565
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2265692084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry