National Provider Identifier
Timothy L Ryan, PHYSICIAN ASSISTANT
Timothy L Ryan, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-0099.
Profile Overview
- NPI
- 1326132838
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 02, 2006
- Last Updated
- June 09, 2009
Practice Location
- 601 Elmwood Avenue
- Box 648
- Rochester, NY 14642
Phone: (585) 275-0099
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1326132838
- Entity Type
- Individual
- Last Name
- Ryan
- First Name
- Timothy
- Middle Name
- L
- Name Prefix
- Mr.
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 601 Elmwood Avenue
- Mailing Address Line 2
- Box 648
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642
- Mailing Country
- US
- Mailing Phone
- (585) 275-0099
- Mailing Fax
- (575) 273-1033
- Practice Street Address
- 601 Elmwood Avenue
- Practice Address Line 2
- Box 648
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642
- Practice Country
- US
- Practice Phone
- (585) 275-0099
- Practice Fax
- (575) 273-1033
- Enumeration Date
- October 02, 2006
- Last Updated
- June 09, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)