Individual
ELIZABETH ROSE REINHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
102 PARK ST, GLENS FALLS, NY 12801-4403
(518) 926-6620
Mailing address
102 PARK ST, GLENS FALLS, NY 12801-4403
(518) 926-6620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287603901
—
TX
01
—
861N05
BCBS
TX
Enumeration date
11/07/2011
Last updated
07/03/2015
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