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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1598865693 NPPES
New York MEDICAID 00924929

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