Provider Demographics
NPI:1366241465
Name:SWEENEY, RILEIGH MADISON
Entity type:Individual
Prefix:
First Name:RILEIGH
Middle Name:MADISON
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RILEIGH
Other - Middle Name:MADISON
Other - Last Name:MEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19565 COUNTY ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:LA FARGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13656-3104
Mailing Address - Country:US
Mailing Address - Phone:315-323-7294
Mailing Address - Fax:
Practice Address - Street 1:900 BEAVER LN
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-1594
Practice Address - Country:US
Practice Address - Phone:315-493-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325841164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse