Reilly, Michael

Reilly, Michael is an individual health care provider with primary practice located at 255 Mason Ave. , Staten Island NY 10305-3416. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Reilly, Michael can be contacted via phone (718) 987-6543.

Contact Information

Primary practice address
255 Mason Ave. Staten Island NY 10305-3416
Phone: (718) 987-6543
Fax: (718) 987-6542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22DI01925000 New Jersey
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 39794 New York

Profile Details

NPI number 1942367578
LBN Legal business name Reilly, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Oct 25th, 2023 - about last year

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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