Provider Demographics
NPI:1083866156
Name:REED, MARIA DEBORRAH (PT)
Entity Type:Individual
Prefix:
First Name:MARIA DEBORRAH
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:D
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:313 NASSAU BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY S
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5313
Mailing Address - Country:US
Mailing Address - Phone:516-280-2532
Mailing Address - Fax:516-280-2533
Practice Address - Street 1:313 NASSAU BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY S
Practice Address - State:NY
Practice Address - Zip Code:11530-5313
Practice Address - Country:US
Practice Address - Phone:516-280-2532
Practice Address - Fax:516-280-2533
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016163-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist