Healthcare Provider Details

I. General information

NPI: 1952227068
Provider Name (Legal Business Name): REINALDO GARCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HILL LN
LEVITTOWN NY
11756-2726
US

IV. Provider business mailing address

8 HILL LN
LEVITTOWN NY
11756-2726
US

V. Phone/Fax

Practice location:
  • Phone: 516-754-1989
  • Fax: 516-754-1989
Mailing address:
  • Phone: 516-754-1989
  • Fax: 516-754-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9629359
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: