Individual
MR. ROEL JOZEF KARL REINARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHALOR
Contact information
Practice address
435 GLENWOOD ROAD, BINGHAMTON, NY 13905-1606
(607) 763-3425
Mailing address
23 WEST GLANN ROAD, APALACHIN, NY 13732-4026
(607) 258-0310
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
018749-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018749-1
—
NY
Enumeration date
12/08/2010
Last updated
10/15/2012
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