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Individual

MR. MICHAEL REINOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDN

Contact information

Practice address
801 CYPRESS ST, ROME, NY 13440-2129
(315) 339-6536
Mailing address
801 CYPRESS STREET, ROME, NY 13440-2129
(315) 339-6536

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003653-1
NY

Other

Enumeration date
12/28/2009
Last updated
12/28/2009
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