Provider Demographics
NPI:1619226859
Name:REIMER, MARY KAREN
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KAREN
Last Name:REIMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CHESTNUT HILL LN S
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2605
Mailing Address - Country:US
Mailing Address - Phone:716-204-8285
Mailing Address - Fax:716-204-8286
Practice Address - Street 1:36 CHESTNUT HILL LN S
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2605
Practice Address - Country:US
Practice Address - Phone:716-204-8285
Practice Address - Fax:716-204-8286
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management