Reilly, Teri
Reilly, Teri is an individual health care provider with primary practice located at 975 Stewart Ave , Garden City NY 11530-4816. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Reilly, Teri can be contacted via phone (516) 222-8600.Contact Information
Primary practice address
975 Stewart Ave
Garden City NY 11530-4816
Phone: (516) 222-8600
Fax: (516) 745-5476
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 0021261 | New York |
Profile Details
NPI number | 1598865693 |
---|---|
LBN Legal business name | Reilly, Teri |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Mar 14th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598865693 | NPPES |
New York | MEDICAID | 00924929 |
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