Individual
ANNE E RIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
17 MADISON STREET, GRANVILLE, NY 12832
(518) 642-2710
(518) 642-1318
Mailing address
564 FERNCLIFF ROAD, POULTNEY, VT 05764
(802) 287-2073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0001611
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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