Individual
JONATHAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
210 NORTH AVE E, CRANFORD, NJ 07016-2491
(908) 276-0237
(908) 276-5692
Mailing address
4175 VETERANS MEMORIAL HWY, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00786400
NJ
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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