Healthcare Provider Details

I. General information

NPI: 1760314330
Provider Name (Legal Business Name): JEFFREY B REICH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 PARK AVE S
NEW YORK NY
10010-1707
US

IV. Provider business mailing address

345 PARK AVE S
NEW YORK NY
10010-1707
US

V. Phone/Fax

Practice location:
  • Phone: 917-974-9743
  • Fax:
Mailing address:
  • Phone: 917-974-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number179058
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: