Individual
JEANNE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
15 W 26TH ST RM 10R, NEW YORK, NY 10010-1070
(646) 641-4508
Mailing address
392 SAINT JOHNS PL APT 1B, BROOKLYN, NY 11238-5359
(646) 641-4508
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004941-1
NY
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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