Individual
DR. GREGORIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MEDICAL PLZ, STE 205, GLEN COVE, NY 11542-2101
(516) 671-6900
(516) 671-6901
Mailing address
10 MEDICAL PLZ, STE 205, GLEN COVE, NY 11542-2101
(516) 671-6900
(516) 671-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
111543
NY
207R00000X
Internal Medicine Physician
111543
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
111543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200904
—
NY
Enumeration date
06/21/2005
Last updated
03/10/2008
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