Individual
EILEEN B REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 POWERS RD, ORCHARD PARK, NY 14127-4841
(716) 667-0001
Mailing address
2875 UNION RD, SUITE 8, CHEEKTOWAGA, NY 14227-1465
(716) 651-0911
(716) 651-9855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000925074002
BC/BS
NY
05
—
02212779
—
NY
01
—
0492309
INDEPENDENT HEALTH
NY
Enumeration date
08/30/2005
Last updated
09/09/2014
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