Individual
CAMERON G RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
462 1ST AVE # ED41A, NEW YORK, NY 10016-9196
(212) 562-4730
Mailing address
226 STANHOPE ST, BROOKLYN, NY 11237-4298
(646) 823-5279
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1564482
NY
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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