Individual
DR. MARK REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 E 70TH ST FL 4, NEW YORK, NY 10021-9800
(646) 962-5558
(212) 746-8451
Mailing address
520 E 70TH ST FL 4, NEW YORK, NY 10021-9800
(646) 962-5558
(212) 746-8451
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
164182
NY
207RI0011X
Interventional Cardiology Physician
Primary
164182
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231953
LNI
WA
05
—
1952460826
—
WA
Enumeration date
12/07/2006
Last updated
02/25/2021
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