Provider Demographics
NPI:1164798849
Name:REED, MARGIE
Entity Type:Individual
Prefix:MRS
First Name:MARGIE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGIE
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:118-15230 STREET CAMBRIA HEIGHTS
Mailing Address - Street 2:PH
Mailing Address - City:NEWYORK
Mailing Address - State:NY
Mailing Address - Zip Code:11411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23315 MERRICK BLVD LAURELTON 11422
Practice Address - Street 2:
Practice Address - City:NEWYORK
Practice Address - State:NY
Practice Address - Zip Code:11422
Practice Address - Country:US
Practice Address - Phone:718-341-7784
Practice Address - Fax:718-341-7906
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255121-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care