MEDICARE: MARIA REYES ORDONEZ RN

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	163WG0000X	General Practice Registered Nurse	814651	NY

General Provider Information

NPI Number	:	1386594844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA REYES ORDONEZ RN

Provider Business Mailing Address
First Line	:	37 LEBKAMP AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-5509
Country	:	US
Telephone Number	:	631-413-3702
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 LEBKAMP AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-5509
Country	:	US
Telephone Number	:	631-413-3702
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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