MEDICARE: CARL REIMERS MD

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
1	207RI0011X	Interventional Cardiology Physician	179659	NY

General Provider Information

NPI Number	:	1437130119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARL REIMERS MD

Provider Business Mailing Address
First Line	:	1262 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5102
Country	:	US
Telephone Number	:	718-859-5843
Fax Number	:	718-859-6250

Provider Business Practice Location Address
First Line	:	1262 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5102
Country	:	US
Telephone Number	:	718-859-5843
Fax Number	:	718-859-6250

Authorized Official
Title or Position	:	OWNER
Name	:	CARL REIMERS
Credential	:	MD
Telephone Number	:	718-359-5843

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	08/22/2020

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