Lilley, Ryan H

Lilley, Ryan H is an sole proprietor health care provider with primary practice located at 6 Technology Dr , East Setauket NY 11733-4079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lilley, Ryan H can be contacted via phone (631) 689-6698.

Contact Information

Primary practice address
6 Technology Dr East Setauket NY 11733-4079
Phone: (631) 689-6698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 020-873 New York

Profile Details

NPI number 1962932467
LBN Legal business name Lilley, Ryan H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2017
Last updated Jun 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962932467 NPPES
New York Other 020-873 NEW YORK STATE EDUCATION DEPARTMENT

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