NPI | 1295773349 |
---|---|
Former Name | DEBRA A. REIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 190712-1) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 190712) |
207Q00000X Family Medicine (Licence: VA 0101240877) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2023-07-05 |