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Individual
PETERGAYLE RILEY
Active
Individual
PETERGAYLE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302754
NY
314000000X
Skilled Nursing Facility
—
NY
Other
Enumeration date
01/09/2015
Last updated
09/19/2018
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