Riley Close, PA-C
Physician Assistant in Cooperstown, NY. Individual provider (NPI-1).
NPI number1942809751
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1942809751
- Entity type
- Individual (NPI-1)
- Name
- Riley Close
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | NY | Yes |
Practice location
1 Atwell RdCooperstown, NY 13326-1394
Phone 607-547-3456
Mailing address
1 Atwell RdCooperstown, NY 13326-1394
Phone 607-547-2456
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