| East End Neurology Pllc | |
|
15 N Ocean Ave Center Moriches NY 11934-2320 | |
| (631) 734-7648 | |
| (631) 734-7287 |
| Full Name | East End Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 N Ocean Ave, Center Moriches, New York |
| Authorized Official Name and Position | Jorge Alberto Reiley (MD) |
| Authorized Official Contact | 6317347648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East End Neurology Pllc 1 Oak Ridge Ct Manorville NY 11949-3240 Ph: (631) 734-7648 | East End Neurology Pllc 15 N Ocean Ave Center Moriches NY 11934-2320 Ph: (631) 734-7648 |
| NPI Number | 1235250614 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Medicare PECOS PAC ID | 5890758999 |
|---|---|
| Medicare Enrollment ID | O20041110000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235250614 | NPI | - | NPPES |
| 0212002 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 208448 (New York) | Primary |
| Provider Name | Jorge A Reiley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053487058 PECOS PAC ID: 7517920622 Enrollment ID: I20041123000071 |
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