MEDICARE: MS. ANNE L REINHART APRN,BC

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	363LA2200X	Adult Health Nurse Practitioner	F303312	NY

General Provider Information

NPI Number	:	1730183229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE L REINHART APRN,BC

Provider Business Mailing Address
First Line	:	2500 RTE 347
Second Line	:	BLDG 14A
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2554
Country	:	US
Telephone Number	:	631-689-7800
Fax Number	:	631-689-3016

Provider Business Practice Location Address
First Line	:	2500 RTE 347
Second Line	:	BLDG 14A
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2554
Country	:	US
Telephone Number	:	631-689-7800
Fax Number	:	631-689-3016

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	10/21/2009

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