Individual
RAFAEL QUINTANA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1111 ELMWOOD AVE, ROCHESTER, NY 14620-3005
(585) 241-1200
Mailing address
11 LACROIX COURT DR APT E, ROCHESTER, NY 14609-1513
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
826468
NY
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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