Individual
MARICAR REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N MAIN ST, SPRING VALLEY, NY 10977-4020
(845) 363-8140
Mailing address
24 MOUNTAINSIDE AVE, STOCKHOLM, NJ 07460-1904
(551) 221-5931
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
749427
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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