Healthcare Provider Details

I. General information

NPI: 1114118239
Provider Name (Legal Business Name): DAVID E REICHMAN M.D., F.A.C.O.G
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 05/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WORTH STREET 4TH FLOOR
NEW YORK NY
10013
US

IV. Provider business mailing address

1305 YORK AVE 6TH FLOOR
NEW YORK NY
10021-5663
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2764
  • Fax:
Mailing address:
  • Phone: 646-962-2764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number260187
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: