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NPI Code Detail

MEDICARE: ANDREW R REICHERT M.D.

MEDICARE: ANDREW R REICHERT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician175051NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000511526007OTHERNYHEALTH INTEGRATED
210478450OTHERNYCAQH
31507892OTHERNYINDEPENDENT HEALTH
400010341602OTHERNYUNIVERA
5169137OTHERNYVALUE OPTIONS

General Provider Information

NPI Number : 1306849138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW R REICHERT M.D.
Provider Business Mailing Address
First Line : 85 BRYANT WOODS S
Second Line :
City : AMHERST
State : NY
Zip : 14228-3604
Country : US
Telephone Number : 716-689-3333
Fax Number : 716-689-9695
Provider Business Practice Location Address
First Line : 85 BRYANT WOODS S
Second Line :
City : AMHERST
State : NY
Zip : 14228-3604
Country : US
Telephone Number : 716-689-3333
Fax Number : 716-689-9866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/10/2011

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Practice Fax: 716-689-9866
1093718819 — MARIA K NICKOLOVA M.D.
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85 BRYANT WOODS S
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14228-3604
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1083617815 — MARIA T CARTAGENA M.D.
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AMHERST, NY
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1568467025 — JAMES A BRIGANTE LCSW
Practice Location Address:
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14228-3604
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Practice Fax: 716-689-9866

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