Individual
MISS MARCIA ANDREA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1000
Mailing address
617 PUTNAM AVE, BROOKLYN, NY 11221-1601
(718) 453-3824
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340572
NY
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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