Riley, Jonathan

Riley, Jonathan is an individual health care provider with primary practice located at 5959 Big Tree Rd Ste 103 , Orchard Park NY 14127-2291. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Riley, Jonathan can be contacted via phone (716) 218-1000.

Contact Information

Primary practice address
5959 Big Tree Rd Ste 103 Orchard Park NY 14127-2291
Phone: (716) 218-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD456949 Pennsylvania

Profile Details

NPI number 1346483039
LBN Legal business name Riley, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2009
Last updated Apr 22nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346483039 NPPES
New York MEDICAID 04879530

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