Organization
E. LISA REID DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR REID (OWNER)
(347) 675-6606
Entity
Organization
Contact information
Practice address
130 E 18TH ST, SUITE 1M, NEW YORK, NY 10003-2416
(347) 675-6606
(212) 614-3223
Mailing address
63 FORT GREENE PL, APT 8, BROOKLYN, NY 11217-1241
(347) 675-6606
(212) 614-3223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054312
NY
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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