Provider Demographics
NPI:1366411456
Name:REICHARD, STEVEN G (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:REICHARD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 ROBINSON AVE
Mailing Address - Street 2:C/O ORANGE RADIOLOGY ASSOCIATES, P.C.
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3353
Mailing Address - Country:US
Mailing Address - Phone:845-565-1989
Mailing Address - Fax:845-863-0072
Practice Address - Street 1:320 ROBINSON AVE
Practice Address - Street 2:C/O ORANGE RADIOLOGY ASSOCIATES, PC
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3353
Practice Address - Country:US
Practice Address - Phone:845-565-1989
Practice Address - Fax:845-863-0072
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2036682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY300107075OtherRAILROAD MEDICARE
NY300107082OtherRAILROAD MEDICARE
NY300107081OtherRAILROAD MEDICARE
NY300107077OtherRAILROAD MEDICARE
NY300107080OtherRAILROAD MEDICARE
NY300107085OtherRAILROAD MEDICARE
NY300107078OtherRAILROAD MEDICARE
NY300107079OtherRAILROAD MEDICARE
NY01665181Medicaid
NY300107076OtherRAILROAD MEDICARE
NY300107083OtherRAILROAD MEDICARE
NY01665181Medicaid
NY300107082OtherRAILROAD MEDICARE