Provider Demographics
NPI:1174691596
Name:ZACHRAU, REINHARD ERICH (MD)
Entity type:Individual
Prefix:DR
First Name:REINHARD
Middle Name:ERICH
Last Name:ZACHRAU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:95 GRASSLANDS RD
Mailing Address - Street 2:NEW YORK MEDICAL COLLEGE - MUNGER PAVILION G40
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1646
Mailing Address - Country:US
Mailing Address - Phone:914-594-3221
Mailing Address - Fax:914-594-3220
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:NEW YORK MEDICAL COLLEGE - MUNGER PAVILION G40
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1646
Practice Address - Country:US
Practice Address - Phone:914-594-3221
Practice Address - Fax:914-594-3220
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY126736207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB04718Medicare UPIN