Reilly, Patrick P

Reilly, Patrick P is an individual health care provider with primary practice located at 51 Fanning Ave , Hampton Bays NY 11946. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Reilly, Patrick P can be contacted via phone (631) 603-5996.

Contact Information

Primary practice address
51 Fanning Ave Hampton Bays NY 11946
Phone: (631) 603-5996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 010044 New York

Profile Details

NPI number 1912569286
LBN Legal business name Reilly, Patrick P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2019
Last updated Jul 8th, 2019 - 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 1912569286 NPPES
New York MEDICAID 010044

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