Individual
DR. RICHARD LESLIE REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 NOSTRAND AVENUE SUITE, LL4, BROOKLYN, NY 11235
(718) 891-4114
(718) 891-4446
Mailing address
3901 NOSTRAND AVENUE, SUITE LL4, BROOKLYN, NY 11235
(718) 891-4114
(718) 891-4446
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
140107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072219
GHI
—
05
—
00838055
—
NY
01
—
KS708
OXFORD
—
Enumeration date
10/04/2006
Last updated
07/08/2007
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