Healthcare Provider Details

I. General information

NPI: 1093640310
Provider Name (Legal Business Name): HEATHER REISS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 SEAVIEW AVE APT 5
NORWALK CT
06855-1823
US

IV. Provider business mailing address

29 SEAVIEW AVE APT 5
NORWALK CT
06855-1823
US

V. Phone/Fax

Practice location:
  • Phone: 954-594-5709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0017108
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: