Individual
BRIDGETTE LATANYA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 681-3100
(914) 682-6588
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
006950
CT
363LF0000X
Family Nurse Practitioner
Primary
337458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04714334
—
NY
Enumeration date
10/30/2012
Last updated
03/17/2018
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