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NPI Code Detail

MEDICARE: MS. HALI LORRAINE RILEY LCSW

MEDICARE: MS. HALI LORRAINE RILEY LCSW
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
11041C0700XClinical Social Worker092584NY

General Provider Information

NPI Number : 1750865408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HALI LORRAINE RILEY LCSW
Provider Business Mailing Address
First Line : 2824 STEINWAY ST STE 156
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3332
Country : US
Telephone Number : 646-397-5659
Fax Number :
Provider Business Practice Location Address
First Line : 1214 31ST AVE APT 6
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4833
Country : US
Telephone Number : 646-397-5659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 01/06/2023

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