Ryan Connolly, PA Valid NPI
Individual provider · Surgical Physician Assistant · East Syracuse, NY
- NPI
- 1700289238
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Physician Assistant (Physician Assistant)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363AS0400X
- License number
- 018048 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-09-29
- Last updated
- 2014-09-29
Practice location
6620 Fly Rd, Ste 200
East Syracuse, NY 13057-9791
(315) 464-4472