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NPI Code Detail

MEDICARE: MEGAN REILLY

MEDICARE: MEGAN REILLY
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
1101YM0800XMental Health Counselor006625NY
2103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548659311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN REILLY
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number : 631-603-9732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2015
Last Update Date : 08/19/2025

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