Kevin Constantine Riley, NP | |
650 Ashford St, Brooklyn, NY 11207 | |
(347) 505-1800 | |
Not Available |
Full Name | Kevin Constantine Riley |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 650 Ashford St, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285117598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F340120-1 (New York) | Primary |
Entity Name | Premier Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760436190 PECOS PAC ID: 1254233158 Enrollment ID: O20040122000144 |
Entity Name | Brownsville Community Development Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578612412 PECOS PAC ID: 7416903323 Enrollment ID: O20071130000198 |
Mailing Address | Practice Location Address |
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Kevin Constantine Riley, NP 592 Rockaway Ave, Brooklyn, NY 11212-5539 Ph: (718) 345-6366 | Kevin Constantine Riley, NP 650 Ashford St, Brooklyn, NY 11207 Ph: (347) 505-1800 |
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