Provider Demographics
NPI:1710313408
Name:REEKIE, THERESA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:
Last Name:REEKIE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-1519
Mailing Address - Country:US
Mailing Address - Phone:845-225-6829
Mailing Address - Fax:
Practice Address - Street 1:2505 KINGS WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1519
Practice Address - Country:US
Practice Address - Phone:845-225-6829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist