Individual
MICHAEL J REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MCCLELLAN ST, DEPARTMENT OF EMERGENCY, SCHENECTADY, NY 12304-1009
(518) 382-2222
Mailing address
1462 ERIE BLVD, ATTN: THE MEDICAL GROUP, SCHENECTADY, NY 12305-1026
(518) 243-1020
(518) 243-1021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
189470-1
NY
207Q00000X
Family Medicine Physician
189470-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000912740003
BSNENY
NY
05
—
01378692
—
NY
01
—
3002305
MVP
—
Enumeration date
07/03/2006
Last updated
04/01/2008
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