Reilly, Jennifer

Reilly, Jennifer is an sole proprietor health care provider with primary practice located at 48 Leibrock Ave , Lindenhurst NY 11757-1824. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Reilly, Jennifer can be contacted via phone (631) 220-0482.

Contact Information

Primary practice address
48 Leibrock Ave Lindenhurst NY 11757-1824
Phone: (631) 220-0482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 017394 New York

Profile Details

NPI number 1811140957
LBN Legal business name Reilly, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2008
Last updated Mar 19th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811140957 NPPES
New York MEDICAID 1811140957

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