Individual
DENISSE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
STONY BROOK MEDICINE DEPARTMENT OF, HSC T-11, ROOM 040, STONY BROOK, NY 11794-8111
(631) 444-2020
Mailing address
321 STATE ST, PERTH AMBOY, NJ 08861-4117
(732) 719-4333
(732) 719-4332
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10645900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0719285
—
NJ
Enumeration date
03/25/2016
Last updated
05/29/2020
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