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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629684030

Michael Colin Riley is a Student in an Organized Health Care Education/Training Program in Liverpool, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4811 Buckley Rd
Liverpool, NY 13088-3676
Phone: (315) 457-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 Parsons Rd, Camillus, NY 13031-2125 — (315) 484-6235

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629684030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address102 Parsons Rd, Camillus, NY 13031-2125

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