Reese, Nancie J

Reese, Nancie J is an individual health care provider with primary practice located at 1200 Driving Park Ave , Newark NY 14513-1090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reese, Nancie J can be contacted via phone (315) 359-2123.

Contact Information

Primary practice address
1200 Driving Park Ave Newark NY 14513-1090
Phone: (315) 359-2123
Fax: (315) 359-2167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005874-1 New York

Profile Details

NPI number 1396819967
LBN Legal business name Reese, Nancie J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Nov 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396819967 NPPES
New York MEDICAID 03007063/NWK
New York MEDICAID 03587831

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