DR. MICHAEL JAMES REARDON M.D. NPI 1144540022

NPI Information

NPI: 1144540022
Provider Name: DR. MICHAEL JAMES REARDON, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
41 DUNLOP RD
HUNTINGTON, NY
ZIP 11743
Phone: (631) 463-5686
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DR. Michael James Reardon, M.D. is an addiction medicine family medicine in Huntington, NY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Michael James Reardon, M.D. NPI is 1144540022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

41 DUNLOP RD
HUNTINGTON, NY
ZIP 11743-932
Phone: (631) 463-5686

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	162904-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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