Individual
DR. JOHN PATRICK REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 HYLAN BLVD, STATEN ISLAND, NY 10306-3608
(718) 448-3210
(718) 351-1580
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
150987-1
NY
207XX0801X
Orthopaedic Trauma Physician
Primary
150987-1
NY
207XX0801X
Orthopaedic Trauma Physician
MA69805
NJ
Other
Enumeration date
11/04/2005
Last updated
01/08/2019
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