Individual
MRS. MARY DOROTHY REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 FORD ST, BALDWINSVILLE, NY 13027-2360
(315) 638-6123
(315) 638-6170
Mailing address
14 FORD ST, BALDWINSVILLE, NY 13027-2360
(315) 638-6123
(315) 638-6170
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
367041-1
NY
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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