Individual
ANTOINETTE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1245 STRATFORD AVE, D10, BRONX, NY 10472-2504
(718) 671-2100
Mailing address
1245 STRATFORD AVE, D10, BRONX, NY 10472-2504
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298723
NY
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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