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NPI Code Detail

MEDICARE: THE RILEY FAMILY FOUNDATION

MEDICARE: THE RILEY FAMILY FOUNDATION
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1619828282
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE RILEY FAMILY FOUNDATION
Provider Business Mailing Address
First Line : 5418 3RD AVE APT 5A
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2977
Country : US
Telephone Number : 702-727-6256
Fax Number :
Provider Business Practice Location Address
First Line : 5418 3RD AVE APT 5A
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2977
Country : US
Telephone Number : 702-727-6256
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ROBERT SPECK
Credential :
Telephone Number : 702-727-6256
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “THE RILEY FAMILY FOUNDATION ” Practice Location

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