Individual
DERRECE K REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY 11795-4939
(833) 744-6333
(516) 433-1036
Mailing address
PO BOX 100, WEST ISLIP, NY 11795-4939
(833) 774-6333
(516) 433-1036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198306
PA
2084N0400X
Neurology Physician
Primary
279921
NY
Other
Enumeration date
06/25/2010
Last updated
07/10/2019
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