Individual
MRS. JACQUELINE BETH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
159 MARGARET ST, SUITE 600, PLATTSBURGH, NY 12901-1874
(518) 563-2057
(518) 563-2094
Mailing address
31 SMOKEY RIDGE RD, PLATTSBURGH, NY 12901-6161
(518) 561-5911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304711
NY
Other
Enumeration date
05/23/2007
Last updated
08/07/2007
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