person
Jacob August Riordan
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1619672763

Jacob August Riordan is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Jacob August Riordan practices in Stony Brook, NY. The NPI Number for Jacob August Riordan is 1619672763 and holds a License No. (New York).

The current practice location address for Jacob August Riordan is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-8410.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794-8434
person
Provider Profile Details
NPI Number
1619672763
Provider Name
Jacob August Riordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd, Stony Brook, NY, 11794-8434
Phone Number
631-444-8410
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
State
Zip
11794-8434
Phone Number
631-444-8410
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
State
Zip
11794-8434
Phone Number
631-444-8410
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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