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Individual

KRYSTEL THERESSE REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(201) 406-3871
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17664800
NJ
163W00000X
Registered Nurse
700665
NY
363LF0000X
Family Nurse Practitioner
26NJ01388300
NJ
363LF0000X
Family Nurse Practitioner
Primary
F350502
NY

Other

Enumeration date
10/21/2022
Last updated
08/18/2024
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