Individual
KATHLEEN MARIE REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVENUE, HUNTINGTON, NY 11743
(631) 351-2687
(631) 351-4453
Mailing address
270 PARK AVENUE, HUNTINGTON, NY 11743
(631) 351-2687
(631) 351-4453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304659
NY
363LA2200X
Adult Health Nurse Practitioner
F304659-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02935431
—
NY
Enumeration date
11/28/2007
Last updated
04/15/2010
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