| Dr Bruce E Reidenberg, MD | |
|
1 Stoneycrest Rd, Rye, NY 10580-4132 | |
| (914) 925-2597 | |
| Not Available |
| Full Name | Dr Bruce E Reidenberg |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1 Stoneycrest Rd, Rye, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013135615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 169073 (New York) | Primary |
| 208000000X | Pediatrics | 61086 (New Jersey) | Secondary |
| Entity Name | State Of New York Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce E Reidenberg, MD 1 Stoneycrest Rd, Rye, NY 10580-4132 Ph: () - | Dr Bruce E Reidenberg, MD 1 Stoneycrest Rd, Rye, NY 10580-4132 Ph: (914) 925-2597 |
Dr. Vito R Sessa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Theall Rd, Rye, NY 10580 Phone: 914-848-8900 Fax: 914-682-6403 | |
Dr. Elena Erika Gazzola-kraenzlin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 Purchase St Ste 8a, Rye, NY 10580 Phone: 914-967-9000 Fax: 914-967-9007 | |
Joy H. Glaser, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Windcrest Rd, Rye, NY 10580 Phone: 914-925-0360 Fax: 914-925-0361 | |
Dr. Sue Y Hahm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 266 Purchase St, Rye, NY 10580 Phone: 914-967-2240 Fax: 914-967-0921 | |
Dr. Helene Mathisson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3 Philips Ln, Rye, NY 10580 Phone: 914-967-0666 |