Individual
DR. JAZMIN ALEXANDRA REYES-PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1051 RIVERSIDE DR, UNIT 78, NEW YORK, NY 10032-1007
(646) 774-6098
Mailing address
450 51ST ST, BROOKLYN, NY 11220-1915
(718) 757-4743
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020938-1
NY
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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