MEDICARE: DR. KENNETH D RILEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	182664	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750332805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH D RILEY D.O.

Provider Business Mailing Address
First Line	:	PO BOX 725
Second Line	:
City	:	COOPERSTOWN
State	:	NY
Zip	:	13326-0725
Country	:	US
Telephone Number	:	518-673-5555
Fax Number	:	518-673-5761

Provider Business Practice Location Address
First Line	:	50 MONTGOMERY ST
Second Line	:
City	:	CANAJOHARIE
State	:	NY
Zip	:	13317
Country	:	US
Telephone Number	:	518-673-5555
Fax Number	:	518-673-5761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	03/28/2008

Similar Medicare Providers

1922007400 — MR. JOSEPH R. SINCHAK M.D.
Practice Location Address:

48 ERIE BLVD , ST. MARY'S HEALTHCARE, CANAJOHARIE HEALTH CENTER
CANAJOHARIE, NY
13317-1133

Practice Phone: 518-673-2573
Practice Fax: 518-673-2781

1528069572 — MRS. JOANNE HIRST ANP
Practice Location Address:

101 W MAIN ST , ST. MARY'S FAMILY HEALTH CTR. AT CANAJOHARIE
CANAJOHARIE, NY
13317-1114

Practice Phone: 518-673-2573
Practice Fax: 518-673-2781

1598767048 — DR. PAUL GERALD COMBER M.D.
Practice Location Address:

48 ERIE BLVD. , CANAJOHARIE HEALTH CENTER
CANAJOHARIE, NY
13317-1133

Practice Phone: 518-673-2573
Practice Fax: 518-673-2781

1669462263 — DW VOGHT INC
Practice Location Address:

26 CHURCH ST
CANAJOHARIE, NY
13317-1165

Practice Phone: 518-673-8086
Practice Fax: 518-673-5112

1952377871 — MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC.
Practice Location Address:

11 ERIE BLVD
CANAJOHARIE, NY
13317-1107

Practice Phone: 585-768-2192
Practice Fax:

1538109616 — BRIAN W HALL R.P.A.
Practice Location Address:

56 MONTGOMERY ST
CANAJOHARIE, NY
13317-1212

Practice Phone: 518-673-5555
Practice Fax: 518-673-5761

Directions to “ DR. KENNETH D RILEY D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.