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General NPI Number Information
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NPI Number | 1194781831
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Entity Type | Individual
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Provider Name | GREGORY REINKING M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 347 N KUAKINI ST
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City | HONOLULU
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State | HI
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Zip | 96817-2306
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Country | US
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Telephone | 808-522-0190
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Fax | 808-523-9068
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Provider Business Mailing Address
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Address Line | 259 1ST ST
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City | MINEOLA
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State | NY
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Zip | 11501-3957
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD11388
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 252149
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License Number State | NY
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