Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 100040 | NY |
NPI | 1285788513 |
---|---|
Provider Name | Robert Francis Reiss |
First Address | Sunnyside, NY 11104-1007 |
Second Address | New York, NY 10021-6275 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |