Provider Demographics
NPI:1235353376
Name:MS FAMILY MEDICINE HEALTH CARE, PC
Entity Type:Organization
Organization Name:MS FAMILY MEDICINE HEALTH CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:CLAUDETTE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-949-0146
Mailing Address - Street 1:241-08 140TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2022
Mailing Address - Country:US
Mailing Address - Phone:718-949-0146
Mailing Address - Fax:718-949-1576
Practice Address - Street 1:241-08 140TH AVE
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:NY
Practice Address - Zip Code:11422-2022
Practice Address - Country:US
Practice Address - Phone:718-949-0146
Practice Address - Fax:718-949-1576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty