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1548707623
RYAN WILLIAM BERRY
BAY SHORE, NY
NPI
1548707623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 020582)
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- RYAN WILLIAM BERRY PA-C
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
-- RYAN WILLIAM BERRY PA-C
19 SALT MEADOW RD
BABYLON, NY 11702-8400
Phone number: 516-721-4782
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