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Individual

DR. GEORGE M REISINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
299 MAIN STREET, NORTHPORT, NY 11768
(631) 757-6271
Mailing address
299 MAIN STREET, NORTHPORT, NY 11768
(631) 757-6271

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
09954
NY

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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