Ryan Marynowski, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cooperstown, NY
NPI 1093471955 · NPPES record last updated Nov 15, 2021
Key facts
- NPI
- 1093471955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 031319 (NY)
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326-1301 - Phone
- (607) 547-3456
- NPI assigned
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031319 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 031319 | NY | Yes |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326-1301
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1301
Other providers in Cooperstown, NY
- Mary Imogene Bassett Hospital
- Mary Imogene Bassett Hospital
- Mary Imogene Bassett Hospital
- Mary Imogene Bassett Hospital
- Mary Imogene Bassett Hospital
- Sunanda Sairam Mattancheril
- Paula W Matteson
- John J May
- Sarah Ann Maylin
- Kristine Mayton
All providers in Cooperstown, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.