Reilly, James

Reilly, James is an individual health care provider with primary practice located at 646 Commack Rd , Commack NY 11725-5404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Reilly, James can be contacted via phone (631) 499-4114.

Contact Information

Primary practice address
646 Commack Rd Commack NY 11725-5404
Phone: (631) 499-4114
Fax: (631) 499-1468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 206113 New York

Profile Details

NPI number 1558466615
LBN Legal business name Reilly, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 9th, 2007 - about 18 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 1558466615 NPPES
New York MEDICAID 00401381

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