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Individual

MR. JAMES MICHAEL REICHERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
120 PLANT AVE, HAUPPAUGE, NY 11788-3805
(631) 851-3810
(631) 851-3858
Mailing address
44 DEAN ST, HICKSVILLE, NY 11801-5851
(516) 935-0558
(516) 935-0558

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004937-1
NY

Other

Enumeration date
08/20/2006
Last updated
11/17/2010
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