Individual
DR. GRACE E REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
205 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3483
(631) 444-4630
(631) 444-4652
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4630
(631) 444-4652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208252-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156391
GHI
NY
05
—
02020928
—
NY
01
—
1667S1
BLUE CROSS/ BLUE SHIELD
NY
01
—
5C8691
HEALTHNET
NY
01
—
P3606228
OXFORD
NY
Enumeration date
07/31/2006
Last updated
04/28/2022
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