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NPI Code Detail

MEDICARE: MRS. REEBA OESTRICH

MEDICARE:  MRS. REEBA  OESTRICH
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
1174400000XSpecialist05249886NY
2174400000XSpecialist

General Provider Information

NPI Number : 1356605620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REEBA OESTRICH
Provider Business Mailing Address
First Line : 1879 54TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1546
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1870 54TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1545
Country : US
Telephone Number : 718-236-0051
Fax Number : 718-236-6848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2012
Last Update Date : 07/01/2012

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Directions to “ MRS. REEBA OESTRICH ” Practice Location

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