Individual
MARTINA MARY O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
706 EXECUTIVE BLVD, VALLEY COTTAGE, NY 10989-2038
(845) 362-3900
(845) 362-5083
Mailing address
15 HILLSIDE AVE # 714, TUXEDO PARK, NY 10987-4423
(845) 774-9446
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
542070-01
NY
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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