Individual
JESSICA ANN REID-ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1512, NEW YORK, NY 10029-6500
(212) 659-8559
(212) 996-9685
Mailing address
2390 PALISADE AVE, APT 6B, BRONX, NY 10463-6217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
242283
NY
2080P0210X
Pediatric Nephrology Physician
Primary
242283
NY
Other
Enumeration date
05/12/2007
Last updated
03/26/2013
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