Basic Information
| Provider Information | |||||||||
| NPI: | 1295799336 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | READER | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | MARY MOLLY | ||||||||
| NamePrefix: | |||||||||
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| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | CUDDY | ||||||||
| OtherFirstName: | CUDDY | ||||||||
| OtherMiddleName: | MARY MOLLY | ||||||||
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| OtherCredential: | PT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 6301 TRANSIT RD | ||||||||
| Address2: | |||||||||
| City: | DEPEW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 140431051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166840400 | ||||||||
| FaxNumber: | 7166837028 | ||||||||
| Practice Location | |||||||||
| Address1: | 2700 NORTH FOREST RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | GETZVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166393330 | ||||||||
| FaxNumber: | 7166393341 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 016355 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 00011174501 | 01 | NY | UNIVERA | OTHER | 6697502 | 01 | NY | GHI | OTHER | P00057986 | 01 | NY | RR MEDICARE | OTHER | 000000083697 | 01 | NY | GHI HMO | OTHER | 838670 | 01 | NY | MANAGED PHYSICAL NETWORK | OTHER | 000627362001 | 01 | NY | BLUE CROSS BLUE SHIELD | OTHER |