Provider Demographics
NPI:1245816248
Name:REID, NATALIA IMAN VICTORIA (CD/PCD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:IMAN VICTORIA
Last Name:REID
Suffix:
Gender:F
Credentials:CD/PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 LEWIS PL
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-5840
Mailing Address - Country:US
Mailing Address - Phone:516-639-9287
Mailing Address - Fax:
Practice Address - Street 1:37 LEWIS PL
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-5840
Practice Address - Country:US
Practice Address - Phone:516-639-9287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula