Provider Demographics
NPI:1700979879
Name:REED, THOMAS M (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:M
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3078 US ROUTE 9W
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6751
Mailing Address - Country:US
Mailing Address - Phone:845-561-3310
Mailing Address - Fax:845-561-8728
Practice Address - Street 1:3078 US ROUTE 9W
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6751
Practice Address - Country:US
Practice Address - Phone:845-561-3310
Practice Address - Fax:845-561-8728
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY159881207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110160650OtherRR MEDICARE PROVIDER ID
NY01040037Medicaid
CE9235OtherRR MEDICARE
NYA60443Medicare UPIN
NY09F431Medicare PIN
NY09F43NW321Medicare PIN