Individual
DR. TARA LYN REIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 CARROW ST, ORCHARD PARK, NY 14127-2604
(716) 662-3443
(716) 972-0374
Mailing address
24 CARROW ST, ORCHARD PARK, NY 14127-2604
(716) 662-3443
(716) 972-0374
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
231912
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026878601
UNIVERA HEALTHCARE
NY
01
—
000527699001
BLUE CROSS/BLUE SHIELD (HEALTH NOW)
NY
05
—
02563968
—
NY
01
—
1212532
INDEPENDENT HEALTH ASSOCIATION
NY
Enumeration date
06/28/2006
Last updated
12/10/2013
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