Individual
HEATHER REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-8138
Mailing address
601 ELMWOOD AVE BOX 667, ROCHESTER, NY 14642-0001
(585) 275-8138
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
287062
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
287062
NY
367500000X
Certified Registered Nurse Anesthetist
287062
NY
Other
Enumeration date
03/30/2012
Last updated
07/07/2023
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