Wallace, Ryan

Wallace, Ryan is an individual health care provider with primary practice located at 300 Grant Ave , Lake Katrine NY 12449-5340. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Wallace, Ryan can be contacted via phone (845) 366-3500.

Contact Information

Primary practice address
300 Grant Ave Lake Katrine NY 12449-5340
Phone: (845) 366-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 170263 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X 639923 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10962 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 310895 New York

Profile Details

NPI number 1689389868
LBN Legal business name Wallace, Ryan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2023
Last updated Jul 7th, 2023 - about last year

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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