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Contact Information

RYAN W BERRY, PA-C
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 631-968-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RYAN W BERRY · (Male)

NPI # 1548707623
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/26/2017
Last updated 01/26/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 020582
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
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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