Individual
JENNICE L RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT- SUITE 1-37N, BROOKLYN, NY 11237-4006
(718) 963-6551
Mailing address
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT- SUITE 1-37N, BROOKLYN, NY 11237-4006
(718) 963-6551
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
493528
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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