National Provider Identifier

Nancie J Reese, PA

Nancie J Reese, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Newark, NY and a listed phone number of (315) 359-2123.

NPI 1396819967Newark, NYPhysician Assistant

Profile Overview

NPI
1396819967
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 17, 2006
Last Updated
November 04, 2014

Practice Location

  • 1200 Driving Park Ave
  • Newark, NY 14513-1090

Phone: (315) 359-2123

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1396819967
Entity Type
Individual
Last Name
Reese
First Name
Nancie
Middle Name
J
Credential
PA
Mailing Street Address
1200 Driving Park Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1090
Mailing Country
US
Mailing Phone
(315) 359-2123
Mailing Fax
(315) 359-2167
Practice Street Address
1200 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1090
Practice Country
US
Practice Phone
(315) 359-2123
Practice Fax
(315) 359-2167
Enumeration Date
November 17, 2006
Last Updated
November 04, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
03007063/NWK (NY), 03587831 (NY)