Ryan, Carolyn Teresa

Ryan, Carolyn Teresa is an sole proprietor health care provider with primary practice located at 3 Malcolm St , West Babylon NY 11704-8023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Ryan, Carolyn Teresa can be contacted via phone (631) 988-0667.

Contact Information

Primary practice address
3 Malcolm St West Babylon NY 11704-8023
Phone: (631) 988-0667
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 002330 New York

Profile Details

NPI number 1689233553
LBN Legal business name Ryan, Carolyn Teresa
Credentials M.A., LCAT, ATR-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2019
Last updated Jun 13th, 2019 - about 5 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 1689233553 NPPES
New York MEDICAID 002330

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