Individual
MR. J THOMAS REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 HANDLEY ST, PERRY, NY 14530-1342
(585) 237-3227
(585) 237-6075
Mailing address
3 HANDLEY ST, PERRY, NY 14530-1342
(585) 237-3227
(585) 237-6075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
136428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488546
—
NY
Enumeration date
08/16/2005
Last updated
10/26/2011
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