Individual
NORELLE RIZKALLA REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, PEDIATRIC GASTROENTEROLOGY, CHC-7-702, NEW YORK, NY 10032-1559
(212) 305-5903
(212) 342-4779
Mailing address
3959 BROADWAY, PEDIATRIC GASTROENTEROLOGY, CHC 7-702, NEW YORK, NY 10032-1559
(212) 305-5903
(212) 342-4779
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
240309
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
240309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02811627
—
NY
Enumeration date
08/23/2006
Last updated
08/13/2020
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