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NPI Code Detail

MEDICARE: JOANA REYES NP-C

MEDICARE: JOANA REYES NP-C
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
1363LF0000XFamily Nurse PractitionerF339845NY

General Provider Information

NPI Number : 1255701363
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANA REYES NP-C
Provider Business Mailing Address
First Line : 213 MAIN ST STE 2
Second Line :
City : WEST SAYVILLE
State : NY
Zip : 11796-1800
Country : US
Telephone Number : 631-563-6205
Fax Number :
Provider Business Practice Location Address
First Line : 213 MAIN ST STE 2
Second Line :
City : WEST SAYVILLE
State : NY
Zip : 11796-1800
Country : US
Telephone Number : 631-563-6205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 06/05/2026

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Directions to “ JOANA REYES NP-C” Practice Location

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