Doctor Name: | DR. JONATHAN T. RIE |
NPI Number: | 1679576383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 168223 |
Business Practice Address: | 33 Davis Ave White Plains, NY - 106051030 |
Business Phone Number: | 9149483630 |
Business Fax Number: | 9144284210 |
Mailing Address: | 210 Westchester Ave, WHITE PLAINS |
State: | NY |
Postal Code: | 106042901 |
Phone Number: | 9146813146 |
Fax Number: | 9146826403 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 168223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |