National Provider Identifier

Audrey Ryan

Audrey Ryan is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 564-1111.

NPI 1154052777Williamsville, NYPhysician Assistant

Profile Overview

NPI
1154052777
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 23, 2022
Last Updated
February 02, 2024

Practice Location

  • 6255 Sheridan Dr Ste 200
  • Williamsville, NY 14221-4825

Phone: (716) 564-1111

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1154052777
Entity Type
Individual
Last Name
Ryan
First Name
Audrey
Mailing Street Address
6255 Sheridan Dr Ste 200
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4825
Mailing Country
US
Mailing Phone
(716) 636-7979
Mailing Fax
(716) 929-0192
Practice Street Address
6255 Sheridan Dr Ste 200
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-4825
Practice Country
US
Practice Phone
(716) 564-1111
Practice Fax
(716) 929-0194
Enumeration Date
June 23, 2022
Last Updated
February 02, 2024
Sex
Female
Sole Proprietor
No
Certification Date
February 02, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)