Individual
JOHN PATRICK REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N. VILLAGE AVENUE, ROCKVILLE CENTRE, NY 11571
(516) 705-1353
Mailing address
P.O. BOX 798, ROCKVILLE CENTRE, NY 11571-1839
(516) 705-1353
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
178140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178140
LICENSE
NY
Enumeration date
01/18/2007
Last updated
09/21/2007
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