Individual
MICHAEL REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 694-9200
Mailing address
2381 DEAN ST APT 1, BROOKLYN, NY 11233-4300
(917) 838-4600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40210
NY
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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