Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Marie Reilly

Individual provider Gerontology Nurse Practitioner · NPI 1144923327

Shannon Marie Reilly is a Gerontology Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

4 W 58th St
New York, NY 10019-2515
Phone: (845) 826-4073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence F311012-01 (NY)

Record details

NPI number1144923327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2023
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

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