MS. BARBARA REILLY


Address: 415 Crystal Ave, Staten Island, NY 10314-2063
Phone: 6312753212

MS. BARBARA REILLY (NPI# 1154738169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154738169
Entity Type Individual
Full Name MS. BARBARA REILLY
Credential NURSE PRACTITIONER
Practice Address 415 Crystal Ave
Staten Island
NY 10314-2063
Practice Telephone 6312753212
Mailing Telephone 6312753212
Enumeration Date 2014-07-22
Last Update Date 2014-07-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
420168 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 415 CRYSTAL AVE
City STATEN ISLAND
State NY
Zip Code 10314-2063

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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