Individual
DEBRA ANNE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-4442
Mailing address
815 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1244
(631) 331-7267
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382398-1
NY
Other
Enumeration date
07/18/2013
Last updated
08/09/2022
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