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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYKER MADDOX

Active Sole Proprietor

RYKER MADDOX is a Licensed Practical Nurse healthcare provider located in FREWSBURG, New York. NPI 1306385455 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FREWSBURG, NY

Registration Details

NPI Number
1306385455
Provider Type
Individual
Gender
Male
NPI Issued
Feb 21, 2017 (9.5040313565212 yrs)
Last Updated
Feb 21, 2017
License
326375 (NY)
Sole Proprietor
Yes

Practice Information

Address
39 W MAIN ST
FREWSBURG, NY, 147389628
Browse NY providers · Browse ZIP 14738
Phone
7167087908
Primary Specialty
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.