National Provider Identifier

Tara Lyn Reimer, MD

Tara Lyn Reimer, MD is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Orchard Park, NY and a listed phone number of (716) 662-3443.

NPI 1295763670Orchard Park, NYPediatric Adolescent Medicine Physician

Profile Overview

NPI
1295763670
Provider Type
Individual
Primary Specialty
Pediatric Adolescent Medicine Physician
Enumeration Date
June 28, 2006
Last Updated
December 10, 2013

Practice Location

  • 24 Carrow St
  • Orchard Park, NY 14127-2604

Phone: (716) 662-3443

Specialties

  • Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
NPI
1295763670
Entity Type
Individual
Last Name
Reimer
First Name
Tara
Middle Name
Lyn
Name Prefix
Dr.
Credential
MD
Mailing Street Address
24 Carrow St
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2604
Mailing Country
US
Mailing Phone
(716) 662-3443
Mailing Fax
(716) 972-0374
Practice Street Address
24 Carrow St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2604
Practice Country
US
Practice Phone
(716) 662-3443
Practice Fax
(716) 972-0374
Enumeration Date
June 28, 2006
Last Updated
December 10, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Adolescent Medicine Physician (2080A0000X)
Other Identifiers
000527699001 (NY, Blue Cross/Blue Shield (Health Now)), 1212532 (NY, Independent Health Association), 00026878601 (NY, Univera Healthcare), 02563968 (NY)