Individual
BERNETTE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10B MADISON AVENUE EXT, ALBANY, NY 12203-7314
(518) 867-3061
Mailing address
10B MADISON AVENUE EXT, ALBANY, NY 12203-7314
(518) 867-3061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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