Reidy, Mary Lou

Reidy, Mary Lou is an sole proprietor health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1402. 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, Mary Lou can be contacted via phone (718) 470-7000.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336730-1 New York

Profile Details

NPI number 1902184252
LBN Legal business name Reidy, Mary Lou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2011
Last updated Aug 3rd, 2011 - about 13 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.

Request for update

Popular Providers