Individual
DR. STACEY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
585 STEWART AVE STE LL60, GARDEN CITY, NY 11530-4786
(516) 222-5100
(516) 222-5107
Mailing address
585 STEWART AVE STE LL60, GARDEN CITY, NY 11530-4786
(516) 222-5100
(516) 222-5107
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
048960
NY
1223P0221X
Pediatric Dentistry
14298
MD
Other
Enumeration date
02/28/2007
Last updated
11/06/2023
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