Individual
MS. GENEVIEVE CATHERINE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
622 W 168TH ST FL 14 RM 104, NEW YORK, NY 10032-3720
(212) 305-7771
(212) 342-5382
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
332048
NY
363LF0000X
Family Nurse Practitioner
Primary
332048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01913395
—
NY
Enumeration date
04/11/2007
Last updated
02/28/2022
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