Jacob M Reider M.D.

NPI 1083706501 - Family Medicine - 207Q00000X

NPI Details
NPI 1083706501
Gender Male
Enumeration Date 09/29/2006
Last Updated 11/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
391 MYRTLE AVENUE
SUITE 4A
ALBANY NY, 12208, US
Phone (518) 207-2273
Fax (518) 207-2293
Business Location
711 TROY SCHENECTADY RD
SUITE 203
LATHAM NY, 12110-2442, US
Phone (518) 782-3700
Fax (518) 782-3799
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 201064
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According to our database, Dr. Jacob M Reider M.D. NPI is 1083706501, taxonomy code is 207Q00000X and license number is 201064, license state is located at New York. Jacob M Reider M.D. physically located at 391 Myrtle Avenue, Albany NY, 12208. NPI Number Jacob M Reider M.D. has the Individual type.

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1083706501 NPI number is provided on an as is basis without warranty of any kind. 1083706501 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob M Reider M.D. are for informational purposes only.