Individual
MS. DIAHANN LATOYA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
365 BRONX RIVER RD, #6N, YONKERS, NY 10704-3445
(718) 285-2998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F337812-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F337812-1
NY
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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