MEDICARE: MR. CARL DIETRICH 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
2	207RC0000X	Cardiovascular Disease Physician	179659	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1639161037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARL DIETRICH REIMERS MD

Provider Business Mailing Address
First Line	:	111 CLOCK TOWER CMNS
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-4055
Country	:	US
Telephone Number	:	845-279-5187
Fax Number	:	855-703-7570

Provider Business Practice Location Address
First Line	:	111 CLOCK TOWER CMNS
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-4055
Country	:	US
Telephone Number	:	845-279-5187
Fax Number	:	855-703-7570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	04/03/2026

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