Individual
ROWENA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1400 PELHAM PKWY S, SUITE 512 - STAFF HOUSE, BRONX, NY 10461-1138
(718) 918-3230
(718) 918-5235
Mailing address
1400 PELHAM PKWY S, SUITE 512 - STAFF HOUSE, BRONX, NY 10461-1138
(718) 918-3230
(718) 918-5235
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
350299
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441851
LICENSE
NY
Enumeration date
07/21/2009
Last updated
07/21/2009
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