NPI 1467895607 · live from the CMS NPI Registry
Brandon Rieders
Internal Medicine, Gastroenterology in Valley Stream, NY. National Provider Identifier 1467895607, active.
NPI record
| NPI | 1467895607 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 210 E Sunrise Hwy Ste 304, Valley Stream, NY 11581 |
| Practice phone | 516-825-8484 |
| Enumerated | April 8, 2013 |
| Last updated | July 30, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 296242-01 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.