Dr. Michael James Reardon
Family Doctor - Addiction Medicine
41 Dunlop Rd
Huntington
, New York 11743-3932
Dr. Michael James Reardon
Family Doctor - Addiction Medicine
41 Dunlop Rd
Huntington
, New York 11743-3932
(631) 463-5686
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael James Reardon
- 41 Dunlop Rd
- Huntington, NY
- Zip : 11743-3932
- Phone : (631) 463-5686
Second Address
- Dr. Michael James Reardon
- 41 Dunlop Rd
- Huntington, NY
- Zip : 11743-3932
- Phone : (631) 463-5686
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 162904-1 | NY |
National Provider Identifier
| NPI | 1144540022 |
|---|---|
| Provider Name | Dr. Michael James Reardon |
| First Address | Huntington, NY 11743-3932 |
| Second Address | Huntington, NY 11743-3932 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2010 |
| Last Update Date | 02/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.