Healthcare Provider Details

I. General information

NPI: 1124342878
Provider Name (Legal Business Name): JENNIFER MARGARET RECKREY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E 41ST ST FL 18
NEW YORK NY
10017-6739
US

IV. Provider business mailing address

222 E 41ST ST FL 18
NEW YORK NY
10017-6739
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-8313
  • Fax: 212-263-8995
Mailing address:
  • Phone: 212-263-8313
  • Fax: 212-263-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number255228
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number255228
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: