Healthcare Provider Details

I. General information

NPI: 1649411372
Provider Name (Legal Business Name): PATRICIA REED PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2009
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 WHITESTONE EXPY
FLUSHING NY
11354-1964
US

IV. Provider business mailing address

969 2ND AVE
NEW YORK NY
10022-6303
US

V. Phone/Fax

Practice location:
  • Phone: 718-762-7400
  • Fax: 718-762-7404
Mailing address:
  • Phone: 212-935-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26021673A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number053135
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: