Individual
RICHARD A RELYEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 WESTVIEW DRIVE, MATTITUCK, NY 11952
(631) 298-6567
Mailing address
PO BOX 2043, AQUEBOGUE, NY 11931-2043
(631) 298-6567
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
493994-1
NY
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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