# DAVID N. REAVIS MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184868929
- **Authorized official:** DR. DAVID NEAL REAVIS MD (PRESIDENT)
- **Authorized official phone:** (631) 584-0010

## Contact information

- **Practice address:** 603 WAVERLY AVE, PATCHOGUE, NY 11772-1523
- **Practice address phone:** (631) 482-3116
- **Practice address fax:** (631) 466-3531
- **Mailing address:** 603 WAVERLY AVE, PATCHOGUE, NY 11772-1523
- **Mailing address phone:** (631) 482-3116
- **Mailing address fax:** (631) 466-3531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 210125-1 | NY | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 11/27/2010