Individual
MS. BRIANNE ELIZABETH REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9777 QUEENS BLVD PH, REGO PARK, NY 11374-3300
(718) 702-2455
Mailing address
7833 74TH ST, GLENDALE, NY 11385-7427
(718) 702-2455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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