Healthcare Provider Details

I. General information

NPI: 1497023956
Provider Name (Legal Business Name): DAWN M REID RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HUTCHINSON RIVER PKWY
BRONX NY
10465-1820
US

IV. Provider business mailing address

1000 HUTCHINSON RIVER PKWY
BRONX NY
10465-1820
US

V. Phone/Fax

Practice location:
  • Phone: 718-828-9000
  • Fax: 718-792-6631
Mailing address:
  • Phone: 718-828-9000
  • Fax: 718-792-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number386619
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: