Reyes, Juanito Antonio

Reyes, Juanito Antonio is an individual health care provider with primary practice located at 2125 River Rd Ste 103 , Schenectady NY 12309-1108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reyes, Juanito Antonio can be contacted via phone (518) 381-9355.

Contact Information

Primary practice address
2125 River Rd Ste 103 Schenectady NY 12309-1108
Fax: (518) 381-9216
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 213297 New York

Profile Details

NPI number 1518932458
LBN Legal business name Reyes, Juanito Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 3rd, 2023 - about 3 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 1518932458 NPPES
New York MEDICAID 02047556

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