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Riley Christian

Student in an Organized Health Care Education/Training Program in Coram, NY. Individual provider (NPI-1).

NPI number1447921457
StatusActive
Last updated in NPPESSep 21, 2021

Details

NPI
1447921457
Entity type
Individual (NPI-1)
Name
Riley Christian
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 21, 2021
Certification date
Sep 21, 2021
Last updated
Sep 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3600 Route 112
Coram, NY 11727-4116

Phone 631-920-8302

Mailing address

14202 20th Ave
Flushing, NY 11351-3000

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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