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Contact Information

MELISSA RYAN
1211 STEWART AVE
BETHPAGE, NY11714-1601
 Phone: 516-465-3998
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MELISSA RYAN · (Female)

NPI Number 1730743212
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2019
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010424
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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