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NPI Code Detail

MEDICARE: MARLENE REYNOLDS-COX DDS

MEDICARE: MARLENE REYNOLDS-COX DDS
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
11223G0001XGeneral Practice Dentistry043356NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922090927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENE REYNOLDS-COX DDS
Provider Business Mailing Address
First Line : 16544A BAISLEY BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11434-2517
Country : US
Telephone Number : 718-723-5656
Fax Number : 717-723-6017
Provider Business Practice Location Address
First Line : 16544A BAISLEY BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11434-2517
Country : US
Telephone Number : 718-723-5656
Fax Number : 718-723-6017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 04/10/2012

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Directions to “ MARLENE REYNOLDS-COX DDS” Practice Location

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