Individual
CAROLINE R REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAIN ST, MINEOLA, NY 11501-4000
(347) 450-2804
Mailing address
110 MAIN ST, MINEOLA, NY 11501-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
07/08/2014
Last updated
07/27/2014
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