Individual
IRINA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
591 FRANKLIN AVE, NUTLEY, NJ 07110-1284
(973) 916-0002
Mailing address
9707 4TH AVE, APT. 4N, BROOKLYN, NY 11209-1046
(917) 608-0948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
614162
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ15058100
NJ
Other
Enumeration date
05/10/2017
Last updated
09/11/2024
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