Individual
CANDECE C REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4027
Mailing address
415 E 5TH ST, MOUNT VERNON, NY 10553-2019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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