Individual
MR. LIAM C RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
GENETIC COUNSELOR
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(734) 972-1848
Mailing address
6653 71ST ST APT 2C, MIDDLE VILLAGE, NY 11379-2129
(734) 972-1848
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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