Provider Demographics
NPI:1043448806
Name:REID-COLE, NADIA ALICIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:ALICIA
Last Name:REID-COLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 WOOD LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2607
Mailing Address - Country:US
Mailing Address - Phone:917-923-1626
Mailing Address - Fax:516-612-3071
Practice Address - Street 1:116 WOOD LN
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2607
Practice Address - Country:US
Practice Address - Phone:917-923-1626
Practice Address - Fax:516-612-3071
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5596711163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse