Individual
J TIMOTHY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
104 UNION AVE., STE 1005, SYRACUSE, NY 13203-2761
(315) 424-0253
Mailing address
104 UNION AVE., STE 1005, SYRACUSE, NY 13203-2761
(315) 424-0253
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
245175
NY
Other
Enumeration date
07/18/2007
Last updated
07/20/2007
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