Reiss, Stephen E

Reiss, Stephen E is an individual health care provider with primary practice located at 1829 Grand Ave , North Baldwin NY 11510-2453. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Reiss, Stephen E can be contacted via phone (516) 378-7645.

Contact Information

Primary practice address
1829 Grand Ave North Baldwin NY 11510-2453
Fax: (516) 771-4630
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 34242 New York

Profile Details

NPI number 1902083322
LBN Legal business name Reiss, Stephen E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902083322 NPPES
New York MEDICAID 01352670

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