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NPI Code Detail

MEDICARE: CHEYENNE RILEY

MEDICARE:   CHEYENNE  RILEY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1881531705
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEYENNE RILEY
Provider Business Mailing Address
First Line : 2741 YATES AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2741 YATES AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5330
Country : US
Telephone Number : 347-525-0513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2026
Last Update Date : 04/29/2026

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Directions to “ CHEYENNE RILEY ” Practice Location

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