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Contact Information

DERRECE K REID, MD
1175 MONTAUK HIGHWAY, SUITE 6
WEST ISLIP, NY11795-4939
 Phone: 833-744-6333
 Fax: 516-433-1036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DERRECE K REID · (Female)

NPI # 1457662256
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2010
Last updated 07/10/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 279921
  • PA License # MT198306
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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