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Organization

WESLEY BETH REISS D O P C

Active
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Organization

WESLEY BETH REISS D O P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WESLEY BETH REISS D.O. (OWNER)
(631) 425-6180
Entity
Organization

Contact information

Practice address
14 W NECK RD, HUNTINGTON, NY 11743-2619
(631) 425-6180
(516) 797-7370
Mailing address
191 N OAK ST, NORTH MASSAPEQUA, NY 11758-3046
(631) 425-6180
(516) 797-7370

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
159835-1
NY
207Q00000X
Family Medicine Physician
Primary
159835-1
NY

Other

Enumeration date
12/09/2011
Last updated
01/24/2012
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