Organization
DR. JEROME E. REEVES, DPM, PLLC
Active
Organization
DR. JEROME E. REEVES, DPM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME E. REEVES D.P.M. (PODIATRIC PHYSICIAN)
(718) 479-5747
Entity
Organization
Contact information
Practice address
205-07 HILLSIDE AVENUE, SUITE 15, HOLLIS, NY 11423
(718) 479-5747
Mailing address
8451 BEVERLY RD, 2T, KEW GARDENS, NY 11415-2123
(718) 441-6271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N005132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502038 1
—
NY
Enumeration date
12/27/2007
Last updated
12/27/2007
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