Individual
LISA DEE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
2186 JEFFREY DR, NORTH BELLMORE, NY 11710-1550
(516) 532-4070
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431386-1
NY
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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