Individual
MS. MARIAN J REICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
936 CUMBERLAND AVE, SYRACUSE, NY 13210-3410
(315) 472-2983
Mailing address
936 CUMBERLAND AVE, SYRACUSE, NY 13210-3410
(315) 472-2983
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
472471-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02743566
—
NY
Enumeration date
02/08/2007
Last updated
07/09/2007
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