| Doctor Name: | CLAUDETTE MINTO RYAN |
| NPI Number: | 1437330503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F304651 |
| Business Practice Address: | 8 Valley Forge Dr Wheatley Heights, NY - 117981215 |
| Business Phone Number: | 6465223502 |
| Business Fax Number: | 6319200976 |
| Mailing Address: | 8 Valley Forge Dr, WHEATLEY HEIGHTS |
| State: | NY |
| Postal Code: | 117981215 |
| Phone Number: | 6465223502 |
| Fax Number: | 6319200976 |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 02/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F304651 |
| 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: | |