Healthcare Provider Details

I. General information

NPI: 1053224022
Provider Name (Legal Business Name): ARIBEL REYES ADULT HEALTH NP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ASTOR AVE FL 2
BRONX NY
10469-5900
US

IV. Provider business mailing address

2500 WILSON AVE
BRONX NY
10469-5609
US

V. Phone/Fax

Practice location:
  • Phone: 929-548-4348
  • Fax:
Mailing address:
  • Phone: 929-548-4348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARIBEL REYES
Title or Position: OWNER
Credential:
Phone: 646-338-0253