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Contact Information

JAMES REILLY, MD
646 COMMACK RD
COMMACK, NY11725-5404
 Phone: 631-499-4114
 Fax: 631-499-1468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAMES REILLY · (Male)

NPI # 1558466615
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 206113
  • NY Medicaid 00401381
Hospital affiliation(s) Not Available
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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