Reilly Abbott
Individual provider Active NPI Social Worker · Woodside, NY
NPI 1689214348 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1689214348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 42-77 65TH PL
Woodside, NY 11377 - Phone
- (718) 429-2000
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
42-77 65TH PL
Woodside, NY 11377
Mailing address
42-77 65TH PL
Woodside, NY 11377-5054
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.