Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 285410-1 | NY |
NPI | 1134565559 |
---|---|
Provider Name | Victoria Reichman |
First Address | New York, NY 10075 |
Second Address | New York, NY 10075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2013 |
Last Update Date | 22/08/2019 |