National Provider Identifier
Ryan Paul Favata, LPN
Ryan Paul Favata, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Spencerport, NY and a listed phone number of (585) 694-5342.
Profile Overview
- NPI
- 1902314412
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 18, 2018
- Last Updated
- February 14, 2018
Practice Location
- 1 Widger RD
- Spencerport, NY 14559-9751
Phone: (585) 694-5342
Specialties
- Licensed Practical Nurse (164W00000X)
- Licensed Vocational Nurse (164X00000X)
Full Record
- NPI
- 1902314412
- Entity Type
- Individual
- Last Name
- Favata
- First Name
- Ryan
- Middle Name
- Paul
- Name Prefix
- Mr.
- Credential
- LPN
- Mailing Street Address
- 1 Widger RD
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-9751
- Mailing Country
- US
- Mailing Phone
- (585) 694-5342
- Practice Street Address
- 1 Widger RD
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-9751
- Practice Country
- US
- Practice Phone
- (585) 694-5342
- Enumeration Date
- January 18, 2018
- Last Updated
- February 14, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Licensed Vocational Nurse (164X00000X)