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NPI Code Detail

MEDICARE: DAVID V REINDL MD

MEDICARE: DAVID V REINDL 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
1207RG0100XGastroenterology Physician247748NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568447803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID V REINDL MD
Provider Business Mailing Address
First Line : 830 WASHINGTON ST
Second Line : SAMARITAN MEDICAL CENTER MEDICAL STAFF OFFICE
City : WATERTOWN
State : NY
Zip : 13601-4034
Country : US
Telephone Number : 315-786-4824
Fax Number : 315-786-4915
Provider Business Practice Location Address
First Line : 830 WASHINGTON ST
Second Line : SAMARITAN MEDICAL CENTER MEDICAL STAFF OFFICE
City : WATERTOWN
State : NY
Zip : 13601-4034
Country : US
Telephone Number : 315-786-4824
Fax Number : 315-786-4915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2005
Last Update Date : 05/30/2024

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