Individual
JILL O REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3350 BROWN RD, CALEDONIA, NY 14423-9534
(585) 538-6250
(585) 538-6223
Mailing address
3350 BROWN RD, CALEDONIA, NY 14423-9534
(585) 538-6250
(585) 538-6223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02564634
—
NY
Enumeration date
06/27/2006
Last updated
07/05/2023
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