Provider Demographics
NPI:1841501145
Name:REINHOLD, ELISABETH MARIA (RN)
Entity type:Individual
Prefix:MISS
First Name:ELISABETH
Middle Name:MARIA
Last Name:REINHOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 DUTCH ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:NY
Mailing Address - Zip Code:10548-1505
Mailing Address - Country:US
Mailing Address - Phone:914-739-5303
Mailing Address - Fax:
Practice Address - Street 1:147 DUTCH ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548-1505
Practice Address - Country:US
Practice Address - Phone:914-739-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4000 46-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse