Individual
MS. KATHARINE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5141 BROADWAY, SUITE 2SW-095, NEW YORK, NY 10034-1159
(212) 932-5218
(212) 932-5258
Mailing address
5141 BROADWAY, SUITE 2SW-095, NEW YORK, NY 10034-1159
(212) 932-5218
(212) 932-5258
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018296
NY
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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