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

Jacob August Riordan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619672763

Jacob August Riordan is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-8434
Phone: (631) 444-8410
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619672763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

Other providers in Stony Brook