Individual
FREDERICK DIETER REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WEST AVE, SUITE 125, SARATOGA SPRINGS, NY 12866-6045
(518) 693-4418
(518) 693-4481
Mailing address
1 WEST AVE, SUITE 125, SARATOGA SPRINGS, NY 12866-6045
(518) 693-4418
(518) 693-4481
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
232317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638411
—
NY
Enumeration date
07/19/2006
Last updated
06/06/2014
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