Individual
KEVIN D REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E 233RD ST, 5TH FLOOR, BRONX, NY 10466-2604
(718) 920-9649
(718) 920-6812
Mailing address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9649
(718) 920-6812
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
110521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1249701
—
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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