Individual
DYLAN ANTHONY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 BERNARD ST, LAWRENCE, NY 11559-1245
(516) 492-5344
Mailing address
16 BERNARD ST, LAWRENCE, NY 11559-1245
(516) 492-5344
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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