Individual
MRS. KRISTEN ANN RIELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEP
Contact information
Practice address
40 BROOKSIDE DR, PLANDOME, NY 11030-1405
(917) 745-5432
(516) 627-1356
Mailing address
40 BROOKSIDE DR, PLANDOME, NY 11030-1405
(917) 745-5432
(516) 627-1356
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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