Individual
MR. DAVID ALLAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
87 WASHINGTON ST, RENSSELAER, NY 12144-2613
(518) 449-1142
(518) 449-1320
Mailing address
87 WASHINGTON ST, RENSSELAER, NY 12144-2613
(518) 449-1142
(518) 449-1320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323240
NY
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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