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Organization

JOHN F REILLY MD PC

Active
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Organization

JOHN F REILLY MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN F REILLY MD (PRESIDENT)
(716) 662-3723
Entity
Organization

Contact information

Practice address
53 BRIAR HILL RD, ORCHARD PARK, NY 14127-3546
(716) 662-3723
Mailing address
53 BRIAR HILL RD, ORCHARD PARK, NY 14127-3546
(716) 662-3723

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
098801
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010146801
UNIVERA
—
01
—
000503541001
BLUE CROSS OF WNY
—
05
—
00637696
—
NY
01
—
0408454
INDEPENDENT HEALTH
—
01
—
CC9962
MEDICARE CATHOLIC HEALTH
—
01
—
POO272409
CATHOLIC HEALTH
—
Enumeration date
04/01/2008
Last updated
05/08/2008
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