Individual
JOHN M REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9 BROOKSITE DR, SMITHTOWN, NY 11787-3400
(631) 724-1331
Mailing address
9 BROOKSITE DR, SMITHTOWN, NY 11787-3400
(631) 724-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
271879
NY
Other
Enumeration date
04/20/2012
Last updated
07/01/2015
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