Jennifer Reilly
Individual provider Active NPI Licensed Practical Nurse · East Norwich, NY
NPI 1992340707 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1992340707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 332057 (NY)
- Practice address
- 62 Sugar Toms Lane
East Norwich, NY 11732 - Phone
- (516) 805-3951
- NPI assigned
- Nov 15, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 332057 | NY | Yes |
Addresses
Primary practice location
62 Sugar Toms Lane
East Norwich, NY 11732
Mailing address
62 Sugar Toms Lane
East Norwich, NY 11732
Other providers in East Norwich, NY
- Oyster Bay Occupational Therapy PLLC
- Gary N/a Peluso
- Paula Petrone
- Precise Diagnostics, Inc.
- Rachel S Heller LCSW PLLC
- Jennifer Roden
- Rosalie Menduni, Dba, East Norwich Therapeutic Services
- Giuliana Rutigliano
- Emily Smith
- Elizabeth Anne Snow
All providers in East Norwich, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. 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.