Individual
PATRICK RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
301 PROSPECT AVENUE, SYRACUSE, NY 13203
(315) 448-5111
Mailing address
301 PROSPECT AVE, MEDICAL OFFICE STAFF, SYRACUSE, NY 13203-1807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344502
NY
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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