National Provider Identifier

Reilly Washington Coch, MD

Reilly Washington Coch, MD is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician in Ithaca, NY and a listed phone number of (607) 257-5858.

NPI 1639394323Ithaca, NYEndocrinology, Diabetes & Metabolism Physician

Profile Overview

NPI
1639394323
Provider Type
Individual
Primary Specialty
Endocrinology, Diabetes & Metabolism Physician
Enumeration Date
April 16, 2007
Last Updated
April 28, 2022

Practice Location

  • 201 Dates Dr
  • Ithaca, NY 14850

Phone: (607) 257-5858

Mailing Address

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Specialties

  • Endocrinology, Diabetes & Metabolism Physician (207RE0101X)
  • Internal Medicine Physician (207R00000X)
  • Pediatrics Physician (208000000X)

Endpoints

  • Homer

    Connect Url | Health Information Exchange (Hie) | Cortland, NY 13045

Full Record
NPI
1639394323
Entity Type
Individual
Last Name
Coch
First Name
Reilly
Middle Name
Washington
Name Prefix
Dr.
Credential
MD
Mailing Street Address
101 Dates Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1342
Mailing Country
US
Mailing Phone
(607) 277-2365
Practice Street Address
201 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 257-5858
Practice Fax
(607) 257-1718
Enumeration Date
April 16, 2007
Last Updated
April 28, 2022
Sex
Male
Sole Proprietor
No
Certification Date
April 28, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Endocrinology, Diabetes & Metabolism Physician (207RE0101X), Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)
Other Identifiers
102029680001 (PA), 02908116 (NY), AA0598 (NY, Medicare Group)