Individual
SAMUEL A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
180 PARK CLUB LN STE 200, WILLIAMSVILLE, NY 14221-5258
(786) 325-0644
Mailing address
180 PARK CLUB LN STE 200, WILLIAMSVILLE, NY 14221-5258
(786) 325-0644
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
253206
NY
390200000X
Student in an Organized Health Care Education/Training Program
TRN8181
FL
Other
Enumeration date
05/24/2007
Last updated
06/03/2009
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