Reilly, Corinne Marie

Reilly, Corinne Marie is an sole proprietor health care provider with primary practice located at 90 S Bedford Rd , Mount Kisco NY 10549-3412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reilly, Corinne Marie can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
90 S Bedford Rd Mount Kisco NY 10549-3412
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016703-1 New York

Profile Details

NPI number 1043647415
LBN Legal business name Reilly, Corinne Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2013
Last updated Mar 17th, 2018 - about 6 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 1043647415 NPPES
New York MEDICAID 04798041

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