Individual
DR. MICHAEL JAMES REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 DUNLOP RD, HUNTINGTON, NY 11743-3932
(631) 463-5686
Mailing address
41 DUNLOP RD, HUNTINGTON, NY 11743-3932
(631) 463-5686
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
162904-1
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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