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Individual

CAMI K RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4212 MEDICAL CENTER DR, SUITE 212, FAYETTEVILLE, NY 13066-6642
(315) 329-7001
(315) 329-3025
Mailing address
4212 MEDICAL CENTER DR, SUITE 212, FAYETTEVILLE, NY 13066-6642
(315) 329-7001
(315) 329-3025

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225439
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02565479
NY
Enumeration date
07/07/2006
Last updated
02/19/2008
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