Individual
BRENDAN LEO REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEER SPEC.
Contact information
Practice address
21 GRAND ST, NEWBURGH, NY 12550-5628
(845) 238-6806
Mailing address
4 WILSON ST., NEWBURGH, NY 12550
(845) 401-1605
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-688
NY
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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