Individual
DANIEL REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 GRAND BLVD, DEER PARK, NY 11729-5300
(631) 940-9800
Mailing address
2703 BIRCH AVE, EAST MEADOW, NY 11554-4322
(631) 236-7129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009925
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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