Individual
WESLEY BETH REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14 W NECK RD, HUNTINGTON, NY 11743-2619
(631) 425-6180
Mailing address
191 N OAK ST, N MASSAPEQUA, NY 11758-3046
(631) 425-6180
(516) 797-7370
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
159835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082445
GHI
NY
01
—
0727234
AETNA
NY
01
—
266380883
CIGNA
NY
01
—
49430
VYTRA
NY
01
—
N11973
HEALTHNET
NY
01
—
NYM159835
CARE MANAGEMENT GROUP NY
NY
01
—
P951291
OXFORD
NY
Enumeration date
09/25/2006
Last updated
06/05/2008
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