Coch, Reilly Washington

Coch, Reilly Washington is an individual health care provider with primary practice located at 201 Dates Dr , Ithaca NY 14850. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Coch, Reilly Washington can be contacted via phone (607) 257-5858.

Contact Information

Primary practice address
201 Dates Dr Ithaca NY 14850
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245671 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 245671 New York
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 245671 New York

Profile Details

NPI number 1639394323
LBN Legal business name Coch, Reilly Washington
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Apr 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639394323 NPPES
Pennsylvania MEDICAID 102029680001
Pennsylvania MEDICAID 02908116
Pennsylvania Other AA0598

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