Organization
NOAH REISS MD PC
Active
Parent organization
NOAH REISS MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOAH REISS MD PC
Authorized official
NOAH REISS MD (PRESIDENT)
(518) 393-8629
Entity
Organization
Contact information
Practice address
319 BAY RD, QUEENSBURY, NY 12804
(518) 793-4910
(518) 793-4709
Mailing address
108 N BALLSTON AVE, SCOTIA, NY 12302
(518) 393-8629
(518) 393-8606
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
182615
NY
207KA0200X
Allergy Physician
25MA07912700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0695
MEDICARE GROUP
NY
Enumeration date
04/17/2008
Last updated
04/17/2008
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