Individual
JACQUELYN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 BATHGATE AVE APT 2D, BRONX, NY 10458-7844
(347) 881-8368
Mailing address
2300 BATHGATE AVE APT 2D, BRONX, NY 10458-7844
(347) 881-8368
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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