Individual
MARISABEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6423
Mailing address
536 GRAHAM AVE, APT 7, BROOKLYN, NY 11222-4803
(646) 526-3811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
471605-1
NY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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