Individual
JULIO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7901 BROADWAY # D1-05, ELMHURST, NY 11373-1329
(718) 334-2488
(718) 334-5006
Mailing address
7901 BROADWAY # D1-05, ELMHURST, NY 11373-1329
(718) 334-2488
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
F310084-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
310084
NY
Other
Enumeration date
04/25/2022
Last updated
12/09/2022
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