National Provider Identifier

Michael Donald Ryan, PA

Michael Donald Ryan, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1417902479Buffalo, NYPhysician Assistant

Profile Overview

NPI
1417902479
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
May 24, 2006
Last Updated
February 09, 2021

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1417902479
Entity Type
Individual
Last Name
Ryan
First Name
Michael
Middle Name
Donald
Credential
PA
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-3164
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-3164
Enumeration Date
May 24, 2006
Last Updated
February 09, 2021
Sex
Male
Sole Proprietor
No
Certification Date
February 09, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
02511291 (NY), 9511860 (NY, Independent Health), 000570451001 (NY, Blue Cross/Blue Shield), 00026590701 (NY, Univera)