Provider Demographics
NPI:1649801895
Name:MARIANNE RYAN-SWANSON PHYSICAL THERAPY, PC
Entity type:Organization
Organization Name:MARIANNE RYAN-SWANSON PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN-SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-661-2933
Mailing Address - Street 1:185 W END AVE APT 12H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5545
Mailing Address - Country:US
Mailing Address - Phone:646-286-2544
Mailing Address - Fax:212-661-2935
Practice Address - Street 1:185 W END AVE APT 12H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5545
Practice Address - Country:US
Practice Address - Phone:646-286-2544
Practice Address - Fax:212-661-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty