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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