Individual
MADELEINE ANN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
1082 LLOYD ST, FRANKLIN SQUARE, NY 11010-2834
(516) 668-9600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025123
NY
Other
Enumeration date
09/17/2020
Last updated
02/23/2022
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