Individual
DR. JONATHAN MAX RIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5030 BROADWAY, SUITE 707, NEW YORK, NY 10034
(718) 412-3445
(212) 567-8480
Mailing address
15 MEADOW ROAD, SCARSDALE, NY 10583
(718) 412-3445
(212) 567-8480
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
203024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02250420
—
NY
Enumeration date
12/14/2005
Last updated
06/06/2014
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