# MICHELLE REISNER MD, LLC

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

## Provider details

- **NPI number:** 1578740692
- **Authorized official:** MS. YOGINI CHAUDHARY (BILLER)
- **Authorized official phone:** (732) 321-1100

## Contact information

- **Practice address:** 196 JEWETT AVE, JERSEY CITY, NJ 07304-1804
- **Practice address phone:** (201) 332-3354
- **Mailing address:** PO BOX 729, TENAFLY, NJ 07670-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008
