Individual
AMY ANN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W MAIN ST, RIVERHEAD, NY 11901-2841
(631) 369-7800
(631) 574-8216
Mailing address
43 WILDWOOD DR, SOUND BEACH, NY 11789-2143
(303) 968-7738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
777173
NY
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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