Individual
ROBERT RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
550 MONTAUK HWY, SHIRLEY, NY 11967-2114
(631) 852-1070
(631) 852-1119
Mailing address
PO BOX 22036, ALBANY, NY 12201-2036
(631) 852-1070
(631) 852-1119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3725
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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