Reese, Andrew B
Reese, Andrew B is an individual health care provider with primary practice located at 369 E Main St , Waterloo NY 13165-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reese, Andrew B can be contacted via phone (315) 539-4025.Contact Information
Primary practice address
369 E Main St
Waterloo NY 13165-1654
Phone: (315) 539-4025
Fax: (315) 539-4128
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 211540-1 | New York |
Profile Details
NPI number | 1861489312 |
---|---|
LBN Legal business name | Reese, Andrew B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2005 |
Last updated | May 7th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861489312 | NPPES |
New York | MEDICAID | 02068702 |
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