Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 002025 | NY |
NPI | 1003216979 |
---|---|
Provider Name | Annalee Reid |
First Address | Brooklyn, NY 11206-5331 |
Second Address | Brooklyn, NY 11206-5331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2014 |
Last Update Date | 24/01/2022 |