Individual
CARLOS ALBERT RECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
965 5TH AVE OFC 1A, NEW YORK, NY 10075-1721
(718) 749-1249
Mailing address
965 5TH AVE OFC 1A, NEW YORK, NY 10075-1721
(187) 491-2497
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
305119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07872159
—
NY
Enumeration date
07/02/2015
Last updated
03/25/2025
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