Provider Demographics
NPI:1265671952
Name:REID, ARQUILLA (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ARQUILLA
Middle Name:
Last Name:REID
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ELMONT COMMUNITY HEALTH CENTER
Mailing Address - Street 2:161 HEMPSTEAD TURNPIKE
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003
Mailing Address - Country:US
Mailing Address - Phone:516-571-8200
Mailing Address - Fax:516-571-8221
Practice Address - Street 1:ELMONT COMMUNITY HEALTH CENTER
Practice Address - Street 2:161 HEMPSTEAD TURNPIKE
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003
Practice Address - Country:US
Practice Address - Phone:516-571-8200
Practice Address - Fax:516-571-8221
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07981OtherHOSPITAL ID#