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Contact Information

JOHN REILLY, MD
676 COUNTY ROAD 39A
SOUTHAMPTON, NY11968-5241
 Phone: 631-444-0058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN REILLY · (Male)

NPI Number 1881640134
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 09/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • LA License # MD.14569R
  • NY License # 198597
  • LA Medicaid 1131938
  • MS Medicaid 00126429
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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