Individual
CORINNE MARIE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
Mailing address
110 S BEDFORD RD, MOUNT KISCO, NY 10549-3446
(914) 241-1050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016703-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04798041
—
NY
Enumeration date
10/01/2013
Last updated
03/17/2018
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