Individual
TERRENCE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 LENOX AVE, NEW YORK, NY 10026-3007
(212) 663-1975
Mailing address
2251 LORING PL N APT 302, BRONX, NY 10468-5800
(347) 316-5456
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33502
—
NY
Enumeration date
09/05/2018
Last updated
09/05/2018
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