Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 80125 | NY |
N | 111NI0900X | Internist | 80125 | NY |
N | 207R00000X | Internist | 80125 | OH |
N | 111NI0900X | Internist | 80125 | OH |
Y | 207RP1001X | Pulmonary Disease | 80125 | NY |
NPI | 1043500317 |
---|---|
Provider Name | Joseph Reichel |
First Address | New York, NY 10128-2220 |
Second Address | New York, NY 10128-2220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 07/04/2011 |