Provider Demographics
NPI:1598127599
Name:REISNER, JENNY BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:BETH
Last Name:REISNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:135 SPRING ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3858
Mailing Address - Country:US
Mailing Address - Phone:212-219-1187
Mailing Address - Fax:212-219-1538
Practice Address - Street 1:135 SPRING ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3858
Practice Address - Country:US
Practice Address - Phone:212-219-1187
Practice Address - Fax:212-219-1538
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302285207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology