
About Ryan Wallace
He is located at 300 Grant Ave, , in Lake Katrine, NY 12449. Appointment can be made via the phone number (845) 366-3500.
Ryan Wallace - Address, Phone & Website
300 Grant Ave, , Lake Katrine, NY 12449
(845) 366-3500
Medical Specialties & Taxonomy codes
Primary | Specialty | Taxonomy Code |
---|---|---|
Yes | Adult Health Nurse Practitioner | 363LA2200X |
No | Registered Nurse | 163W00000X |
No | Registered Nurse | 163W00000X |
No | Nurse Practitioner | 363L00000X |
Licenses
State | License Number |
---|---|
New York | 310895 |
Connecticut | 170263 |
New York | 639923 |
Connecticut | 10962 |