Individual
MS. YOSMAYRA E REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-1702
Mailing address
298 QUINCY ST, APT 1, BROOKLYN, NY 11216-5746
(347) 673-3016
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
088411
NY
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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