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Individual

JAMES J REILLY JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4146
Mailing address
21 E 87TH ST, APT. 9A, NEW YORK, NY 10128-0506
(212) 426-3781

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
192665
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0683042
NY
Enumeration date
12/20/2005
Last updated
07/08/2007
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