Provider Demographics
NPI:1649411372
Name:REED, PATRICIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6303
Mailing Address - Country:US
Mailing Address - Phone:212-935-1819
Mailing Address - Fax:
Practice Address - Street 1:3050 WHITESTONE EXPY
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-1964
Practice Address - Country:US
Practice Address - Phone:718-762-7400
Practice Address - Fax:718-762-7404
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021673A183500000X
NY053135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist