Individual ProviderMichael William ReillySocial WorkerBehavioral Health & Social Service ProvidersPractice Address481 8th Ave., Suite 520, New York, NY 10001(646) 710-0553PECOS EnrollmentBased on the most recent information from CMS, provider Michael William Reilly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:56 PM.Profile DetailsProvider ID1902105729Provider TypeIndividualFull NameReilly, Michael WilliamTitleMr.CredentialLMSWGenderMaleSole ProprietorYesEnumeration Date3/18/2011Last Updated3/18/2011Contact InformationPractice LocationPractice Address481 8th Ave., Suite 520, New York, NY 10001Phone(646) 710-0553FaxUnlisted FaxMailing LocationMailing Address481 8th Ave., Suite 520, New York, NY 10001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense081556New York