Individual
TIRISSA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-6904
Mailing address
PO BOX 4, NEW YORK, NY 10032-0004
(212) 342-6904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245577
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
245577
NY
Other
Enumeration date
01/14/2008
Last updated
05/26/2011
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