MEDICARE: LUCINDA REYES

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1407233513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCINDA REYES

Provider Business Mailing Address
First Line	:	393 E 10TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-4784
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	148 POST AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-2667
Country	:	US
Telephone Number	:	845-267-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2015
Last Update Date	:	04/24/2025

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Directions to “ LUCINDA REYES ” Practice Location

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