Provider Demographics
NPI:1306102959
Name:RYNASKI, RICHARD F (LAC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:RYNASKI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SYLVAN RDG
Mailing Address - Street 2:
Mailing Address - City:ROCKFALL
Mailing Address - State:CT
Mailing Address - Zip Code:06481-2063
Mailing Address - Country:US
Mailing Address - Phone:860-349-3890
Mailing Address - Fax:
Practice Address - Street 1:40 SYLVAN RDG
Practice Address - Street 2:
Practice Address - City:ROCKFALL
Practice Address - State:CT
Practice Address - Zip Code:06481-2063
Practice Address - Country:US
Practice Address - Phone:860-349-3890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000492171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist