Doctor Name: | MRS. CHARLENE H. RIACH |
NPI Number: | 1780736413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,MS,C-FNP |
License Number: | F330109-1 |
Business Practice Address: | 90 Robinson Dr. Wallkill, NY - 125894008 |
Business Phone Number: | 8458957156 |
Business Fax Number: | 8458957173 |
Mailing Address: | 236 Clearview Dr, WALLKILL |
State: | NY |
Postal Code: | 125894008 |
Phone Number: | 8458957156 |
Fax Number: | 8458957173 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F330109-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |