Individual
MICHELE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 STERLING AVE, STATEN ISLAND, NY 10306-4315
(718) 351-2583
Mailing address
12 STERLING AVE, STATEN ISLAND, NY 10306-4315
(718) 351-2583
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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