Individual
ENRICO REYES PIGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 PARK AVE, NEW YORK, NY 10035-1932
(212) 774-3206
Mailing address
1825 PARK AVE, NEW YORK, NY 10035-1932
(212) 774-3206
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
555524-01
NY
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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