Individual
BRIAN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
28652 STATE HIGHWAY 23, STAMFORD, NY 12167-1712
(607) 652-8045
(607) 652-8047
Mailing address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026442-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00213676
RAILROAD MEDICARE
NY
01
—
P01313382
RR MEDICARE
NY
Enumeration date
11/17/2005
Last updated
07/07/2014
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