Individual
DR. MONICA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 N BROADWAY, FL 2, WHITE PLAINS, NY 10601-2214
(914) 428-6000
(914) 948-8624
Mailing address
PO BOX 28064, NEW YORK, NY 10087-8064
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01444366
—
NY
01
—
060065878
RAIL ROAD MEDICARE
NY
01
—
31L993K223
PTAN
NY
01
—
A400040615
MEDICARE PTAN
NY
Enumeration date
05/24/2005
Last updated
11/05/2015
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