Individual
MARY KATHERINE REINHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SILLS RD BLDG 5-6, E PATCHOGUE, NY 11772-4869
(631) 475-5511
Mailing address
32 LAURELTON AVENUE, LAKE GROVE, NY 11755-3116
(631) 804-2398
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 302237
NY
363LP0200X
Pediatric Nurse Practitioner
38 380868
NY
Other
Enumeration date
07/22/2010
Last updated
06/02/2020
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