Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 175670 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 175670 | NY |
NPI | 1306942206 |
---|---|
Provider Name | Dr. Anthony Joseph Reino |
First Address | New Rochelle, NY 10801-5635 |
Second Address | New Rochelle, NY 10801-5635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F25714 | (02) | NY |