Individual
JAMES GERARD REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
Mailing address
55 WATER ST, 12TH FLOOR, CREDENTIALING, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
191290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01651234
—
NY
Enumeration date
08/09/2006
Last updated
02/06/2017
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