MEDICARE: TESSA REINHART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1174212146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESSA REINHART

Provider Business Mailing Address
First Line	:	1 CAMPUS RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-4479
Country	:	US
Telephone Number	:	718-390-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 E 65TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6607
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	03/14/2025

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Directions to “ TESSA REINHART ” Practice Location

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