Provider Demographics
NPI:1437497419
Name:REINFRIED, MARYBETH B (RN)
Entity type:Individual
Prefix:MRS
First Name:MARYBETH
Middle Name:B
Last Name:REINFRIED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:118 ROUTE 302 # PIN
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-7130
Mailing Address - Country:US
Mailing Address - Phone:845-744-2031
Mailing Address - Fax:845-744-4094
Practice Address - Street 1:118 ROUTE 302 # PIN
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-7130
Practice Address - Country:US
Practice Address - Phone:845-744-2031
Practice Address - Fax:845-744-4094
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY357090-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool