Individual
MRS. WENDY REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4802 10TH AVE, 4TH FLOOR ROOM G, BROOKLYN, NY 11219-2916
(917) 523-5658
Mailing address
4802 10TH AVE, 4TH FLOOR ROOM G, BROOKLYN, NY 11219-2916
(917) 523-5658
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007951
NY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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