Organization
GREGORIO V. REYES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORIO REYES M.D. (INTERNAL MEDICINE)
(516) 671-6900
Entity
Organization
Contact information
Practice address
10 MEDICAL PLZ, SUITE 205, GLEN COVE, NY 11542-2193
(516) 671-6900
(516) 671-6901
Mailing address
10 MEDICAL PLAZA, SUITE 205, GLEN COVE, NY 11542
(516) 671-6900
(516) 671-6901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
111543
NY
207R00000X
Internal Medicine Physician
221361
NY
207RC0000X
Cardiovascular Disease Physician
111543
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
111543
NY
282N00000X
General Acute Care Hospital
2213611
NY
310400000X
Assisted Living Facility
111543
NY
310400000X
Assisted Living Facility
221361
NY
311Z00000X
Custodial Care Facility
2213611
NY
314000000X
Skilled Nursing Facility
111543
NY
314000000X
Skilled Nursing Facility
2213611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200904
—
NY
05
—
02223669
—
NY
Enumeration date
01/17/2006
Last updated
06/12/2008
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