Healthcare Provider Details

I. General information

NPI: 1952953572
Provider Name (Legal Business Name): REYENNE ANINGALAN SCHIOWITZ AGNPCP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2019
Last Update Date: 07/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE
NEW YORK NY
10029-7491
US

IV. Provider business mailing address

329 HOYT ST
BROOKLYN NY
11231-4903
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberF309066
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: