Individual
GUIRUALDO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 E 120TH ST, NEW YORK, NY 10035-3113
(212) 427-1794
Mailing address
304 E 120TH ST, NEW YORK, NY 10035-3113
(212) 427-1794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
145532
NY
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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