Reyes, Juan D

Reyes, Juan D is an individual health care provider with primary practice located at 91 Graham Ave , Brooklyn NY 11206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Reyes, Juan D can be contacted via phone (718) 963-2215.

Contact Information

Primary practice address
91 Graham Ave Brooklyn NY 11206
Phone: (718) 963-2215
Fax: (718) 575-4197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 102459 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 102459 New York

Profile Details

NPI number 1083774475
LBN Legal business name Reyes, Juan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083774475 NPPES
New York MEDICAID 00177211

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