Individual
DR. JOSEPH REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 W 86TH ST, SUITE 1D, NEW YORK, NY 10024-4022
(212) 854-5070
Mailing address
515 W 111TH ST, APARTMENT 4C, NEW YORK, NY 10025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017347
NY
Other
Enumeration date
01/03/2008
Last updated
06/09/2009
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