Individual
JOSEPH REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
1275 YORK AVE, PEDIATRIC DAY HOSP, MEMORIAL SLOAN-KETTERING CANCER CTR, NEW YORK, NY 10065-6007
(212) 639-7951
Mailing address
360 FURMAN ST APT 615, BROOKLYN, NY 11201-4703
(917) 589-9305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382066-1
NY
Other
Enumeration date
08/02/2009
Last updated
10/09/2014
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