Individual
MR. JUAN D REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 GRAHAM AVE, BROOKLYN, NY 11206
(718) 963-2215
(718) 575-4197
Mailing address
72 DARTMOUTH STREET, FOREST HILLS, NY 11375
(718) 429-4518
(718) 575-4197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
102459
NY
208D00000X
General Practice Physician
Primary
102459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00177211
—
NY
Enumeration date
12/08/2006
Last updated
09/11/2025
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