Provider Demographics
NPI:1861426116
Name:REIFE, CAROL M (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:M
Last Name:REIFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:425 E 58TH ST
Mailing Address - Street 2:APARTMENT 23D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2300
Mailing Address - Country:US
Mailing Address - Phone:215-527-9323
Mailing Address - Fax:212-371-8172
Practice Address - Street 1:425 E 58TH ST
Practice Address - Street 2:APARTMENT 23D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2300
Practice Address - Country:US
Practice Address - Phone:215-527-9323
Practice Address - Fax:212-371-8172
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY146336207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7710909Medicaid
PA001204551Medicaid
PA605587Medicare PIN