National Provider Identifier

Edward S Riley

Edward S Riley is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 856-2587.

NPI 1144783846Buffalo, NYPeer Specialist

Profile Overview

NPI
1144783846
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
April 09, 2019
Last Updated
April 09, 2019

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 856-2587

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1144783846
Entity Type
Individual
Last Name
Riley
First Name
Edward
Middle Name
S
Provider Other Last Name
Riley
Provider Other First Name
Edward
Provider Other Middle Name
S
Provider Other Name Prefix Text
Mr.
Provider Other Last Name Type Code
5
Mailing Street Address
430 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-1886
Mailing Country
US
Mailing Phone
(716) 856-2587
Mailing Fax
(716) 856-2587
Practice Street Address
430 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1886
Practice Country
US
Practice Phone
(716) 856-2587
Practice Fax
(716) 856-2608
Enumeration Date
April 09, 2019
Last Updated
April 09, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)