Individual
MR. MOSHE REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
20 HOSPITAL RD, MUNGER PAVILION, VALHALLA, NY 10595-1538
(914) 594-4714
Mailing address
71 GROVE AVE, CEDARHURST, NY 11516-2310
(347) 267-4183
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382337
NY
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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