Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Canedo

Individual provider Peer Specialist · NPI 1942665724

Ryan Canedo is a Peer Specialist in Northport, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

79 Middleville Rd
Northport, NY 11768-2200
Phone: (631) 261-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 998 Crooked Hill Rd, Brentwood, NY 11717-1019 — (631) 761-2068

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 755628 (NY)
Peer Specialist Taxonomy 175T00000X · Licence NYCPS-P-225 (NY)

Record details

NPI number1942665724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2015
Last updated in NPPESSeptember 27, 2019
Mailing address79 Middleville Rd, Northport, NY 11768-2296