Individual
RAFAEL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
14809 88TH AVE APT 2A, JAMAICA, NY 11435-3424
(646) 301-0819
Mailing address
14809 88TH AVE APT 2A, JAMAICA, NY 11435-3424
(646) 301-0819
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-383
NY
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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