Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N005536 | NY |
N | 222Z00000X | Podiatrist | N005536 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N005536 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | N005536 | NY |
NPI | 1619049855 |
---|---|
Provider Name | Brian M Reade |
First Address | Poughkeepsie, NY 12601-6027 |
Second Address | Poughkeepsie, NY 12601-6027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02186616 | (05) | NY |
10033475 | CDPHP (01) | |
1893215 | UNITED HEALTHCARE (01) | |
361261 | MVP (01) | |
6202187 | GHI (01) | |
71344 | GHI HMO (01) | |
P00037174 | RR MEDICARE (01) | |
P2751776 | OXFORD (01) | |
PO55369B | WORKERS COMP (01) | |
PO9011 | BLUE CROSS (01) | |
U68863 | (02) |