Provider Demographics
NPI:1003216979
Name:REID, ANNALEE (CM)
Entity Type:Individual
Prefix:
First Name:ANNALEE
Middle Name:
Last Name:REID
Suffix:
Gender:F
Credentials:CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 THROOP AVE STE 1R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5331
Mailing Address - Country:US
Mailing Address - Phone:347-395-4082
Mailing Address - Fax:347-892-3398
Practice Address - Street 1:188 THROOP AVE STE 1R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5331
Practice Address - Country:US
Practice Address - Phone:347-395-4082
Practice Address - Fax:347-892-3398
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY002025176B00000X, 367A00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula