| Doctor Name: | COLEEN RYAN-FRANK |
| NPI Number: | 1003016502 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F303097-1 |
| Business Practice Address: | 850 Hicksville Rd Suite 104 Seaford, NY - 117831300 |
| Business Phone Number: | 5167980141 |
| Business Fax Number: | 5167980694 |
| Mailing Address: | 850 Hicksville Rd, Ste 104 SEAFORD |
| State: | NY |
| Postal Code: | 117831300 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F303097-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |