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Individual

DR. IRA W REISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BROOKDALE PLZ, ROOM 169CHC, BROOKLYN, NY 11212-3139
(718) 240-5615
(718) 485-4064
Mailing address
1 BROOKDALE PLZ, ROOM 169CHC, BROOKLYN, NY 11212-3139
(718) 240-5615
(718) 485-4064

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
148732
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003314
GHI
NY
05
00947071
NY
01
051AG1
EMPIRE BC/BS
NY
01
0582188
AETNA US HEALTHCARE
NY
01
10855
ELDERPLAN
NY
01
14-27202
UNITED HEALTHCARE
NY
01
148732
HIP
NY
01
148732-A41
1199 NBF
NY
01
148732-B41
1199 NBF
NY
01
2348368
AETNA US HEALTHCARE-HMO
NY
01
3300266
GHI
NY
01
5279175
AETNA US HEALTHCARE-PPO
NY
01
70D45
BLUECHOICE
NY
01
70D451
MEDICARE PTAN
NY
01
9159486001
CIGNA - REGULAR
NY
01
9159486003
CIGNA - SENIORS
NY
01
BKX076001
AMERICHOICE
NY
01
KS446
OXFORD
NY
01
P2085145
OXFORD
NY
Enumeration date
11/30/2005
Last updated
10/11/2013
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