Individual
MARIELA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1400 PELHAM PKWY S BLDG 1, BRONX, NY 10461-1119
(718) 918-6782
Mailing address
1400 PELHAM PKWY S BLDG 1, BRONX, NY 10461-1197
(718) 918-6782
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NY
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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