MEDICARE: DR. SAMUEL BRINGEISSEN REICHBERG MD

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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	137325-1	NY
2	174400000X	Specialist	137325-1	NY

General Provider Information

NPI Number	:	1235273137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL BRINGEISSEN REICHBERG MD

Provider Business Mailing Address
First Line	:	125 SEAMAN AVE
Second Line	:	4G
City	:	NEW YORK
State	:	NY
Zip	:	10034-1928
Country	:	US
Telephone Number	:	212-987-1199
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 SEAMAN AVE
Second Line	:	4G
City	:	NEW YORK
State	:	NY
Zip	:	10034-1928
Country	:	US
Telephone Number	:	212-987-1199
Fax Number	:

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	04/06/2026

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