IndividualActive
Ryan Divita, TEACHER
NPI 1811626419 · Respiratory/Developmental/Rehabilitative Specialist/Technologist · East Amherst, NY
Provider details
- NPI number
- 1811626419
- Entity type
- Individual
- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- TEACHER
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
26 San Fernando Ln
East Amherst, NY 14051-2234
Phone: (716) 472-1289
Fax: (716) 689-2916
Approximate (ZIP-level) locationGet directions
Mailing address
153 Bramble Ct
Williamsville, NY 14221-1715
Registry dates
- Enumerated
- 2022-06-08
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.