Peter Ronan in Johnson City - Addiction Medicine
Peter Ronan - NPI 1922065093
Peter Ronan is a Addiction Medicine in Johnson City, New York. Peter Ronan practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Peter Ronan is 1922065093. The last update date is 2010-08-05.
Peter Ronan's current location address is 58 Lusk St, Johnson City, New York. You can contact this provider via phone number 6077636293 and fax number 6077636717. The mailing address for Peter Ronan is 58 Lusk St, Johnson City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Ronan |
|---|---|
| Address | 58 Lusk St, Johnson City, New York |
| Phone Number | 6077636293 |
| Fax Number | 6077636717 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922065093 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2010-08-05 |
Provider Mailing Address Detail
| Address | 58 Lusk St |
|---|---|
| City | Johnson City |
| State | New York (NY) |
| Post Code | 137902541 |
| Phone Number | 6077636293 |
| Fax Number | 6077636717 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 154048 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 899725 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Peter Ronan by the Centers for Medicare & Medicaid Services?
The Peter Ronan has been assigned the NPI (National Provider Identifier) 1922065093. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Peter Ronan is physically located?
The Peter Ronan is situated at the following address: 58 Lusk St, Johnson City, NY 137902541.
What is Peter Ronan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter Ronan is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Ra0401X.
On what date did the Peter Ronan receive the assignment of its 1922065093 from the Centers for Medicare & Medicaid Services?
The Peter Ronan was issued its 1922065093 by the Centers for Medicare & Medicaid Services on 2006-05-01.
When was the information regarding Peter Ronan most recently updated?
The details pertaining to the Peter Ronan, including its address, specialty, and other relevant information, were last refreshed on 2010-08-05.