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Individual

DR. MARCI ANN REYNOLDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
258 HOOSICK ST, SUITE 106, TROY, NY 12180-2427
(518) 271-1331
(518) 271-8712
Mailing address
258 HOOSICK ST, SUITE 106, TROY, NY 12180-2427
(518) 271-1331
(518) 271-8712

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214858
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01975497
NY
Enumeration date
08/19/2005
Last updated
03/12/2012
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