Provider Demographics
NPI:1619308970
Name:REING, PAMELA A
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:A
Last Name:REING
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 1:6973 184TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3537
Mailing Address - Country:US
Mailing Address - Phone:718-591-4567
Mailing Address - Fax:
Practice Address - Street 1:6973 184TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3537
Practice Address - Country:US
Practice Address - Phone:718-591-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist