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Individual

DR. ANDRZEJ RIESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1650 GRAND CONCOURSE, OB/GYN ADMINISTRATION 5TH FL., BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Mailing address
1650 GRAND CONCOURSE, OB/GYN ADMINISTRATION 5TH FL., BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
187617
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01524501
NY
Enumeration date
04/15/2008
Last updated
11/02/2011
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