Individual
LOUISE LYDIA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 PETERS BLVD, CENTRAL ISLIP, NY 11722-3654
(631) 365-5811
Mailing address
57 PETERS BLVD, CENTRAL ISLIP, NY 11722-3654
(631) 365-5811
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
607032-1
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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