Individual
DR. FELICE LYNN REITKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2290
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
168780-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD042691E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011502900001
—
PA
05
—
01117702
—
NY
01
—
060060324
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039807
PA MEDICARE GROUP
PA
Enumeration date
02/10/2006
Last updated
03/02/2021
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