Ronald, Michael R

Ronald, Michael R is an individual health care provider with primary practice located at 10 Brentwood Dr Suite B, Ithaca NY 14850-1865. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ronald, Michael R can be contacted via phone (607) 266-0073.

Contact Information

Primary practice address
10 Brentwood Dr Suite B Ithaca NY 14850-1865
Phone: (607) 266-0073
Fax: (607) 266-9310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F331855 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 331855 New York

Profile Details

NPI number 1871507905
LBN Legal business name Ronald, Michael R
Credentials RN FNP, RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 29th, 2008 - about 16 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 1871507905 NPPES
New York MEDICAID 02266791

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