National Provider Identifier

Corinthias Ryan Eugene Ivery, LPN

Corinthias Ryan Eugene Ivery, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 944-6671.

NPI 1154297745Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1154297745
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 13, 2025
Last Updated
October 13, 2025

Practice Location

  • 58 Crombie St
  • Rochester, NY 14605-1624

Phone: (585) 944-6671

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1154297745
Entity Type
Individual
Last Name
Ivery
First Name
Corinthias
Middle Name
Ryan Eugene
Credential
LPN
Mailing Street Address
58 Crombie St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14605-1624
Mailing Country
US
Mailing Phone
(585) 944-6671
Practice Street Address
58 Crombie St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605-1624
Practice Country
US
Practice Phone
(585) 944-6671
Enumeration Date
October 13, 2025
Last Updated
October 13, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
October 10, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)