Individual
DR. JOHN P REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
33 GREENWICH AVE, SUITE 1-C, NEW YORK, NY 10014-2701
(212) 243-7800
(212) 463-7727
Mailing address
33 GREENWICH AVE, SUITE 1-C, NEW YORK, NY 10014-2701
(212) 243-7800
(212) 463-7727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X5827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320054
ACN PROVIDER ID
NY
01
—
4381441
AETNA PROVIDER ID
NY
01
—
P413673
OXFORD PROVIDER ID
NY
01
—
RJ5827
ATLANTIS PROVIDER ID
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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