Individual
COLLEEN RIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
703 MIDDLEVILLE RD, HERKIMER, NY 13350-0107
(315) 866-7932
(315) 866-1914
Mailing address
703 MIDDLEVILLE RD, PO BOX 107, HERKIMER, NY 13350-0107
(315) 866-7932
(315) 866-1914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307585-1
NY
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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