Reisman, Thomas

Reisman, Thomas is an individual health care provider with primary practice located at 350 S Broadway , Hicksville NY 11801-5006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reisman, Thomas can be contacted via phone (516) 938-0100.

Contact Information

Primary practice address
350 S Broadway Hicksville NY 11801-5006
Fax: (516) 938-0120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 181258 New York

Profile Details

NPI number 1720028756
LBN Legal business name Reisman, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 8th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720028756 NPPES
New York MEDICAID 01164034

Popular Providers