Individual
MR. KYLE F RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 449-0513
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
589767
NY
Other
Enumeration date
10/29/2012
Last updated
05/11/2020
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