Individual
NICOLE REIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
1650 GRAND CONCOURSE BRONX LEBANON HOSPITAL CENTER, 5TH FL. OB GYN ADMINISTRATION, BRONX, NY 10457
(718) 239-8383
Mailing address
1446 SURPRISE ST, ELMONT, NY 11003-2410
(917) 568-0383
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001176
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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