Individual
JUANITO ANTONIO SANTIAGO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Mailing address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02047556
—
NY
05
—
02995513
—
NY
01
—
331833
MEDICARE
NY
Enumeration date
02/22/2006
Last updated
09/30/2025
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