National Provider Identifier

Emma Dallas Ryan, MD

Emma Dallas Ryan, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 276-5181.

NPI 1861195810Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1861195810
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 27, 2023
Last Updated
March 27, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 276-5181

Mailing Address

  • 2454 N Bogus Basin RD
  • Boise, ID 83702-0985

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1861195810
Entity Type
Individual
Last Name
Ryan
First Name
Emma
Middle Name
Dallas
Credential
MD
Mailing Street Address
2454 N Bogus Basin RD
Mailing City
Boise
Mailing State
ID
Mailing ZIP Code
83702-0985
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 276-5181
Enumeration Date
March 27, 2023
Last Updated
March 27, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 26, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)