MEDICARE: CHERYL VILLEGAS UY-REYES PT

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	208100000X	Physical Medicine & Rehabilitation Physician	040223-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040223-1	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1538510821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL VILLEGAS UY-REYES PT

Provider Business Mailing Address
First Line	:	7 W 45TH ST
Second Line	:	9TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10036-4905
Country	:	US
Telephone Number	:	212-867-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 W 45TH ST
Second Line	:	9TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10036-4905
Country	:	US
Telephone Number	:	212-867-1111
Fax Number	:

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

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	06/30/2016

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