Reynolds, Roy B

Reynolds, Roy B is an individual health care provider with primary practice located at 8201 Britton Ave #3R, Elmhurst NY 11373-2434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reynolds, Roy B can be contacted via phone (718) 672-0083.

Contact Information

Primary practice address
8201 Britton Ave #3R Elmhurst NY 11373-2434
Phone: (718) 672-0083
Fax: (718) 672-9885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 163521 New York

Profile Details

NPI number 1801952064
LBN Legal business name Reynolds, Roy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 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 1801952064 NPPES
New York MEDICAID MM15910421

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