Individual
MR. CLIFFORD JOHN REICHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 CLOVERDALE DR, OAKDALE, NY 11769-1502
(631) 334-9922
Mailing address
16 CLOVERDALE DR, OAKDALE, NY 11769-1502
(631) 334-9922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004140-1
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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