Provider Demographics
NPI:1477168359
Name:OREILLY, GAIL PATRICIA (RN)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:PATRICIA
Last Name:OREILLY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 OLD VESTAL RD
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3571
Mailing Address - Country:US
Mailing Address - Phone:607-238-1123
Mailing Address - Fax:
Practice Address - Street 1:4513 OLD VESTAL RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3571
Practice Address - Country:US
Practice Address - Phone:607-238-1123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293374-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse