Provider Demographics
NPI:1821739640
Name:REID-HUIE, DENISE AUDREY
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:AUDREY
Last Name:REID-HUIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1669 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2009
Mailing Address - Country:US
Mailing Address - Phone:516-920-9806
Mailing Address - Fax:
Practice Address - Street 1:1669 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-2009
Practice Address - Country:US
Practice Address - Phone:516-920-9806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator