Individual
CARMEN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
915 OCEAN ST, BALDWIN, NY 11510-4723
(516) 608-5163
Mailing address
915 OCEAN ST, BALDWIN, NY 11510-4723
(516) 608-5163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338548-1
NY
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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