MEDICARE: ZACHARY PAUL REILLY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	313694	NY
2	208M00000X	Hospitalist Physician	MD492700	PA
3	207R00000X	Internal Medicine Physician	MD492700	PA
4	207R00000X	Internal Medicine Physician	313694	NY

General Provider Information

NPI Number	:	1255876082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY PAUL REILLY MD

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 S MANNING BLVD
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-1707
Country	:	US
Telephone Number	:	518-525-1550
Fax Number	:	518-525-6545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2017
Last Update Date	:	02/05/2026

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