Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Patrice Rieck, MSED

Individual provider Developmental Therapist · NPI 1942971049

Carly Patrice Rieck, MSED is a Developmental Therapist in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

405 Avalon Pines Dr
Coram, NY 11727-5129
Phone: (646) 912-0874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 364369091 (NY)

Record details

NPI number1942971049
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedSeptember 28, 2021
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021