| NPI | 1265046940 |
|---|---|
| Doing Business As | RYAN HEALTH WADSWORTH |
| Entity Type | Organization |
| Authorized Contact | JOSE VIRELLA Chief Financial Officer 212-316-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-07-15 |