Individual
JOSHUA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 930-5731
Mailing address
1250 WATERS PL, BRONX, NY 10461-2720
(800) 636-6683
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
024645
NY
Other
Enumeration date
12/11/2019
Last updated
04/20/2022
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