Provider Demographics
NPI:1669831665
Name:REINHARDT, STEPHANIE (ED MA)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:ED MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 PURITAN RD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-8527
Mailing Address - Country:US
Mailing Address - Phone:716-803-2455
Mailing Address - Fax:
Practice Address - Street 1:177 PURITAN RD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-8527
Practice Address - Country:US
Practice Address - Phone:716-803-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist