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NPI Code Detail

MEDICARE: REBECCA REID MD

MEDICARE: REBECCA REID MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730022625
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA REID MD
Provider Business Mailing Address
First Line : 74 VENETIAN PROMENADE
Second Line :
City : LINDENHURST
State : NY
Zip : 11757-6543
Country : US
Telephone Number : 718-283-6000
Fax Number :
Provider Business Practice Location Address
First Line : 4802 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2916
Country : US
Telephone Number : 718-283-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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