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NPI Code Detail

MEDICARE: MYSHIA DUNCAN REID BS

MEDICARE: MYSHIA DUNCAN REID BS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1982007472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYSHIA DUNCAN REID BS
Provider Business Mailing Address
First Line : 250 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-3931
Country : US
Telephone Number : 718-925-2009
Fax Number :
Provider Business Practice Location Address
First Line : 250 UTICA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-3931
Country : US
Telephone Number : 718-925-2009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2014
Last Update Date : 11/07/2025

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