Individual
AMBER KAY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(718) 899-9060
Mailing address
4718 198TH ST, FLUSHING, NY 11358-3939
(646) 512-4682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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