RYAN DEKENIPP

BAY SHORE, NY
NPI1306550140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  363A00000X)
Enumeration Date2023-01-06
Last Update Date2024-10-04
Business Address
RYAN DEKENIPP Physician Assistant
340 HOWELLS RD STE 2B
BAY SHORE, NY 11706-5322
Phone number: 833-547-7463
Mailing Address
RYAN DEKENIPP Physician Assistant
100 MOTOR PKWY STE LL8
HAUPPAUGE, NY 11788-5165
Phone number: 833-547-7463
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