Riley, Louis J

Riley, Louis J is an individual health care provider with primary practice located at 200 Madison Ave Fl 3 , Elmira NY 14901-3219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Riley, Louis J can be contacted via phone (607) 734-1581.

Contact Information

Primary practice address
200 Madison Ave Fl 3 Elmira NY 14901-3219
Fax: (607) 734-0972
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 235016 New York

Profile Details

NPI number 1720139983
LBN Legal business name Riley, Louis J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Feb 22nd, 2021 - about 4 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 1720139983 NPPES
New York MEDICAID 02647336

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