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General NPI Number Information
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NPI Number | 1811082480
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Entity Type | Organization
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Legal Business Name | MALCOLM D REID
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 1000 TENTH AVENUE SUITE 3B-20
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-523-6607
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Fax | 212-523-8262
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Provider Business Mailing Address
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Address Line | 1000 TENTH AVENUE SUITE 3B-20
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 212-523-6607
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Fax | 212-523-8262
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Authorized Official
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Title or Position | CHAIRMAN OF REHAB. MEDICINE DEPT.
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Name | MALCOLM D REID
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Credential | M.D.
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Telephone | 212-523-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 175034
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License Number State | NY
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