| Organization Name: | RONALD J REISS MD, PC |
| NPI Number: | 1225316425 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE MARRONE (BILLING MANAGER) |
| Mailing Address: | 150 Purchase St Rye |
| State: | NY US |
| Postal Code: | 105802141 |
| Phone Number: | 9149673113 |
| Fax Number: | 9149675948 |
| NPI Enumeration Date: | 07/22/2011 |
| NPI Last Update Date: | 09/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |