Individual
MICHAEL R RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CNIM
Contact information
Practice address
5 FRANCIS PL, LATHAM, NY 12110-1613
(518) 727-2238
Mailing address
5 FRANCIS PL, LATHAM, NY 12110-1613
(518) 727-2238
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/03/2022
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