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NPI Code Detail

MEDICARE: DEMI REECE

MEDICARE: DEMI REECE
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
1363L00000XNurse Practitioner357059NY

General Provider Information

NPI Number : 1245193879
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEMI REECE
Provider Business Mailing Address
First Line : 1700 LATIMER HILL RD
Second Line :
City : CANAJOHARIE
State : NY
Zip : 13317-3744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 LATIMER HILL RD
Second Line :
City : CANAJOHARIE
State : NY
Zip : 13317-3744
Country : US
Telephone Number : 347-322-1792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ DEMI REECE ” Practice Location

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