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General NPI Number Information
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NPI Number | 1225316425
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Entity Type | Organization
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Legal Business Name | RONALD J REISS MD, PC
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 150 PURCHASE ST
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City | RYE
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State | NY
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Zip | 10580-2141
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Country | US
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Telephone | 914-967-3113
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Fax | 914-967-5948
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Provider Business Mailing Address
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Address Line | 150 PURCHASE STREET
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City | RYE
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State | NY
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Zip | 10580
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Country | US
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Telephone | 914-967-3113
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Fax | 914-967-5948
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MICHELLE MARRONE
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Credential |
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Telephone | 914-967-6660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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