Individual
MR. ANTHONY J REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
130 E 77TH ST, 9TH FLOOR, NEW YORK, NY 10021-1851
(212) 434-2606
Mailing address
315 ATLANTIC AVE, APT. 1P, EAST ROCKAWAY, NY 11518-1141
(516) 316-2014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010536
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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