Individual provider · Type 1 NPI

Debra Anne Reilly, PNP

Pediatric Nurse Practitioner · Holbrook, NY

NPI number 1134561194 Active

Practice location

270 Union Ave
Holbrook, NY 11741-1823

Mailing address

815 Hallock Ave
Port Jefferson Station, NY 11776-1244

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382398-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1134561194

Debra Anne Reilly, PNP's National Provider Identifier is 1134561194, issued on Jul 18, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Holbrook, NY. The record was last updated on Aug 9, 2022.