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1922885433
RYAN PATRICK MCGILLICUDDY
ROCHESTER, NY
NPI
1922885433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 025919)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
RYAN PATRICK MCGILLICUDDY PsyD
154 SIMPSON RD
ROCHESTER, NY 14617-4646
Phone number: 630-200-6895
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Mailing Address
RYAN PATRICK MCGILLICUDDY PsyD
154 SIMPSON RD
ROCHESTER, NY 14617-4646
Phone number: 630-200-6895
Copy
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