person
Shannon Marie Reilly
Gerontology Nurse Practitioner in New York, New York
NPI 1144923327

Shannon Marie Reilly is a Gerontology Nurse Practitioner based in New York, NY and is specialized in Gerontology. Shannon Marie Reilly practices in New York, NY. The NPI Number for Shannon Marie Reilly is 1144923327 and holds a License No. F311012-01 (New York).

The current practice location address for Shannon Marie Reilly is 4 W 58Th St, New York, NY and can be reached out via phone at 845-826-4073.

Location: 4 W 58Th St, New York, NY, 10013-3494
person
Provider Profile Details
NPI Number
1144923327
Provider Name
Shannon Marie Reilly
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 W 58Th St, New York, NY, 10013-3494
Phone Number
845-826-4073
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4 W 58Th St
City
State
Zip
10019-2515
Phone Number
845-826-4073
Fax Number
person
Provider Business Mailing Address Details
Address
4 W 58Th St
City
State
Zip
10019-2515
Phone Number
845-826-4073
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
F311012-01 (New York)
Definition
Definition to come...
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