National Provider Identifier

Louis J Riley Jr., MD

Louis J Riley Jr., MD is listed in the NPPES registry with a primary specialty of Nephrology Physician in Elmira, NY and a listed phone number of (607) 734-1581.

NPI 1720139983Elmira, NYNephrology Physician

Profile Overview

NPI
1720139983
Provider Type
Individual
Primary Specialty
Nephrology Physician
Enumeration Date
January 15, 2007
Last Updated
February 22, 2021

Practice Location

  • 200 Madison Ave Fl 3
  • Elmira, NY 14901-3219

Phone: (607) 734-1581

Mailing Address

  • 571 Saint Josephs Blvd
  • 2Nd Floor
  • Elmira, NY 14901-3230

Specialties

  • Nephrology Physician (207RN0300X)
Full Record
NPI
1720139983
Entity Type
Individual
Last Name
Riley
First Name
Louis
Middle Name
J
Name Suffix
Jr.
Credential
MD
Mailing Street Address
571 Saint Josephs Blvd
Mailing Address Line 2
2Nd Floor
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3230
Mailing Country
US
Mailing Phone
(607) 271-2050
Practice Street Address
200 Madison Ave Fl 3
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3219
Practice Country
US
Practice Phone
(607) 734-1581
Practice Fax
(607) 734-0972
Enumeration Date
January 15, 2007
Last Updated
February 22, 2021
Sex
Male
Sole Proprietor
No
Certification Date
February 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nephrology Physician (207RN0300X)
Other Identifiers
02647336 (NY)