# NOAH REISS MD PC

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

## Provider details

- **NPI number:** 1700147428
- **Authorized official:** NOAH REISS MD (PRESIDENT)
- **Authorized official phone:** (518) 393-8898

## Contact information

- **Practice address:** 4456 STATE HWY 30, AMSTERDAM, NY 12010
- **Practice address phone:** (518) 843-4086
- **Practice address fax:** (518) 843-0977
- **Mailing address:** 108 N BALLSTON AVE, SCOTIA, NY 12302
- **Mailing address phone:** (518) 393-8629
- **Mailing address fax:** (518) 393-8606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 182615 | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | 182615 | — | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 05/30/2012