Individual
KATHLEEN REICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6745
Mailing address
407 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB06152100
NJ
208000000X
Pediatrics Physician
Primary
202821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01847603
—
NY
Enumeration date
11/17/2006
Last updated
06/19/2020
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