Individual
RENEIDA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5410
(718) 780-5409
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5410
(718) 780-5409
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0350021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673932
—
NY
Enumeration date
11/13/2006
Last updated
12/29/2023
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