Reidy, Jill
Reidy, Jill is an individual health care provider with primary practice located at 100 John Roemmelt Dr Suite 204, Horseheads NY 14845-8301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reidy, Jill can be contacted via phone (607) 795-2828.Contact Information
Primary practice address
100 John Roemmelt Dr Suite 204
Horseheads NY 14845-8301
Phone: (607) 795-2828
Fax: (607) 795-2829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 336905 | New York |
Profile Details
| NPI number | 1518245554 |
|---|---|
| LBN Legal business name | Reidy, Jill |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Oct 3rd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518245554 | NPPES |
| New York | MEDICAID | 03368265 |
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