Organization
DAVID N. REAVIS MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NEAL REAVIS MD (PRESIDENT)
(631) 584-0010
Entity
Organization
Contact information
Practice address
603 WAVERLY AVE, PATCHOGUE, NY 11772-1523
(631) 482-3116
(631) 466-3531
Mailing address
603 WAVERLY AVE, PATCHOGUE, NY 11772-1523
(631) 482-3116
(631) 466-3531
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
210125-1
NY
Other
Enumeration date
04/23/2009
Last updated
11/27/2010
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