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Individual

DR. DAVID C. RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
622 W 168TH ST, PH 1-137, NEW YORK, NY 10032-3720
(212) 305-2995
Mailing address
622 W 168TH ST, PH 1-137, NEW YORK, NY 10032-3720
(212) 305-2995

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
218288-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02091436
NY
01
1525Q1
BLUECROSS BLUESHIELD
NY
Enumeration date
01/13/2006
Last updated
09/10/2008
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