Individual
MRS. ANN O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 WESTERN CONCOURSE, AMITY HARBOR, NY 11701-4125
(631) 608-2158
Mailing address
17 WESTERN CONCOURSE, AMITY HARBOR, NY 11701-4125
(631) 608-2158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005339-1
NY
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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