Individual
MRS. EDIE HELENA REISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 OSBORNE AVE, RIVERHEAD CENTRAL SCHOOL DISTRICT, RIVERHEAD, NY 11901-2912
(631) 369-6711
(631) 369-0014
Mailing address
700 OSBORNE AVE, RIVERHEAD CENTRAL SCHOOL DISTRICT, RIVERHEAD, NY 11901-2912
(631) 369-6711
(631) 369-0014
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4427504
NY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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