Individual provider · Type 1 NPI

Shannon Marie Reilly

Gerontology Nurse Practitioner · New York, NY

NPI number 1144923327 Active

Practice location

4 W 58th St
New York, NY 10019-2515

Call (845) 826-4073 Map

Mailing address

88 Leonard St Apt 409
New York, NY 10013-3494

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XF311012-01 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1144923327

Shannon Marie Reilly's National Provider Identifier is 1144923327, issued on Mar 24, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Mar 24, 2023.