Individual
ABIGAIL VICTORIA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 788-2805
(315) 779-5066
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 788-2805
(315) 779-5066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-02794
KS
363A00000X
Physician Assistant
PA61027649
WA
363AM0700X
Medical Physician Assistant
15-02794
KS
363AM0700X
Medical Physician Assistant
PA61027649
WA
363AS0400X
Surgical Physician Assistant
Primary
032497
NY
363AS0400X
Surgical Physician Assistant
15-02794
KS
363AS0400X
Surgical Physician Assistant
PA61027649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-02794
PA
KS
01
—
PA61027649
WASHINGTON STATE PA LICENSE
WA
Enumeration date
02/11/2020
Last updated
03/13/2025
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