Susan A. Reilly | Middletown, NY • PECOS Search

Susan A. Reilly

Specialist

Other Service Providers

2277 Gosen Turnpike, Middletown, NY 10941

PECOS Enrollment

Based on the most recent information from CMS, provider Susan A. Reilly does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1902169204
Provider Type
Individual
Full Name
Reilly, Susan A.
Gender
Female

Sole Proprietor
No
Enumeration Date
6/21/2012
Last Updated
6/21/2012

Contact Information

Practice Location

2277 Gosen Turnpike, Middletown, NY 10941

Unlisted Fax

Mailing Location

2277 Goshen Tpke, Middletown, NY 10941-4032

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer