Individual
CHRISTINE REINICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6349 78TH ST, MIDDLE VILLAGE, NY 11379-1307
(646) 637-2696
Mailing address
63-49 78TH STREET, MIDDLE VILLAGE, NY 11379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2644116
NY
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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