National Provider Identifier

John Michael Reiser, M.D.

John Michael Reiser, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Orchard Park, NY and a listed phone number of (716) 574-2672.

NPI 1790785137Orchard Park, NYDiagnostic Radiology Physician

Profile Overview

NPI
1790785137
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
July 28, 2005
Last Updated
July 24, 2012

Practice Location

  • 40 Birdsong Pkwy
  • Orchard Park, NY 14127-3068

Phone: (716) 574-2672

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
Full Record
NPI
1790785137
Entity Type
Individual
Last Name
Reiser
First Name
John
Middle Name
Michael
Credential
M.D.
Mailing Street Address
40 Birdsong Pkwy
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3068
Mailing Country
US
Mailing Phone
(716) 574-2672
Practice Street Address
40 Birdsong Pkwy
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-3068
Practice Country
US
Practice Phone
(716) 574-2672
Enumeration Date
July 28, 2005
Last Updated
July 24, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X)
Other Identifiers
000525977008 (Blue Shield Of Western Ny), CR1939750B (NY, Workers Compensation), 02060997 (NY), P00422403 (Railroad Medicare), 208616656 (Fidelis), P00259090 (NY, Railroad Medicare), 00025112506 (Univera), 5611064 (Independent Health)