Healthcare Provider Details

I. General information

NPI: 1275744278
Provider Name (Legal Business Name): ERIN REESE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E 38TH ST FL 19
NEW YORK NY
10016-2708
US

IV. Provider business mailing address

240 E 38TH ST FL 19
NEW YORK NY
10016-2708
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-7613
  • Fax: 212-731-5600
Mailing address:
  • Phone: 646-501-7613
  • Fax: 212-731-5600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP2008
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number420613
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: