Individual
DELON LEONARD REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
645 BAY ST, STATEN ISLAND, NY 10304-3843
(718) 816-1010
Mailing address
645 BAY ST, STATEN ISLAND, NY 10304-3843
(718) 816-1010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
357204
NY
Other
Enumeration date
07/01/2025
Last updated
07/02/2025
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