Individual
DR. ANDREW B REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
369 E MAIN ST, WATERLOO, NY 13165-1654
(315) 539-4025
(315) 539-4128
Mailing address
369 E MAIN ST, WATERLOO, NY 13165-1654
(315) 539-4025
(315) 539-4128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211540-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068702
—
NY
Enumeration date
09/30/2005
Last updated
05/07/2013
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