Provider Demographics
NPI:1962498931
Name:REED, WILLIAM PIPER (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PIPER
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:120 MINEOLA BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4073
Mailing Address - Country:US
Mailing Address - Phone:516-663-3300
Mailing Address - Fax:516-663-2136
Practice Address - Street 1:120 MINEOLA BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4073
Practice Address - Country:US
Practice Address - Phone:516-663-3300
Practice Address - Fax:516-663-2136
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2013-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY216279208600000X
NY2164792086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01792396Medicaid
NYB74795Medicare UPIN
NY01792396Medicaid