Mary D Reilly (NPI# 1275542482, PAC ID# 6002985298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1275542482 |
PAC ID by PECOS | 6002985298 |
Professional Enrollment ID | I20080514000148 |
Full Name | Mary D Reilly |
Address |
1023 Hope St Stamford CT 06907-2122 |
Gender | F |
Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1992 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
070006 | STAMFORD HOSPITAL |
Address | Phone | Organization |
---|---|---|
64 Black Rock Ave, Bridgeport, CT 06605-1200 | 2035795000 | OPTIMUS HEALTH CARE INC |
1023 Hope St, Stamford, CT 06907-2122 | ||
805 Atlantic St, Stamford, CT 06902-6805 | 2033275111 | OPTIMUS HEALTH CARE INC |
Street Address |
1023 HOPE ST |
City | STAMFORD |
State | CT |
Zip | 06907-2122 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christine Colonna | Physical Therapy | 22 Knapp St, Suite 303, Stamford, CT 06907-1741 | |
Benedict Salanitro | Physical Therapy | 1063 Hope St, Stamford, CT 06907-2109 | |
Dustin K Debroy | Chiropractic | Greenwich Sports Medicine At Twin Rinks LLC | 1063 Hope St, Stamford, CT 06907-2109 |
Marietta S Vergara | Internal Medicine | 743 Hope St, Stamford, CT 06907-2503 |
City | STAMFORD |
Zip Code | 06907 |
Specialty | PODIATRY |
City + Specialty | STAMFORD + PODIATRY |
Please comment or provide details below to improve the information on Mary D Reilly.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.