Provider Demographics
NPI:1699860544
Name:RYAN, CHRISTOPHER CHARLES (MSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:CHARLES
Last Name:RYAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2537 ROUTE 52
Mailing Address - Street 2:STE 1
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3236
Mailing Address - Country:US
Mailing Address - Phone:845-897-4600
Mailing Address - Fax:845-897-4604
Practice Address - Street 1:2537 ROUTE 52 STE 1
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3236
Practice Address - Country:US
Practice Address - Phone:845-897-4600
Practice Address - Fax:845-897-4604
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028966-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYS06368Medicare UPIN
NYN7A121Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER