National Provider Identifier
Mahogoney M Riley, LPN
Mahogoney M Riley, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Greece, NY and a listed phone number of (585) 747-0795.
Profile Overview
- NPI
- 1063855369
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 17, 2013
- Last Updated
- August 28, 2019
Practice Location
- 129 Falmouth St
- Apt 19
- Greece, NY 14615-1918
Phone: (585) 747-0795
Mailing Address
- 175 Haviland Park
- Rochester, NY 14616
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1063855369
- Entity Type
- Individual
- Last Name
- Riley
- First Name
- Mahogoney
- Middle Name
- M
- Credential
- LPN
- Mailing Street Address
- 175 Haviland Park
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14616
- Mailing Country
- US
- Mailing Phone
- (585) 747-0795
- Practice Street Address
- 129 Falmouth St
- Practice Address Line 2
- Apt 19
- Practice City
- Greece
- Practice State
- NY
- Practice ZIP Code
- 14615-1918
- Practice Country
- US
- Practice Phone
- (585) 747-0795
- Enumeration Date
- April 17, 2013
- Last Updated
- August 28, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)