Individual
TERI REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
(516) 745-5476
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8600
(516) 745-5476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0021261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00924929
—
NY
Enumeration date
09/25/2006
Last updated
03/14/2012
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