Provider Demographics
NPI:1598917437
Name:REED, DANA (MS, CNS, CDN)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:MS, CNS, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 9TH ST
Mailing Address - Street 2:12-K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5944
Mailing Address - Country:US
Mailing Address - Phone:212-982-1744
Mailing Address - Fax:866-761-2308
Practice Address - Street 1:60 E 12TH ST
Practice Address - Street 2:2-F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5019
Practice Address - Country:US
Practice Address - Phone:212-982-1744
Practice Address - Fax:866-761-2308
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005668133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist