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Individual

AMY ELIZABETH REINWALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3807 214TH PL, BAYSIDE, NY 11361-2121
(718) 683-7771
Mailing address
3807 214TH PL, BAYSIDE, NY 11361-2121
(718) 683-7771

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
506097111
NY
174400000X
Specialist
Primary
506107111
NY

Other

Enumeration date
06/25/2012
Last updated
06/25/2012
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