Individual
MS. KATHLEEN ANNE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
1600 STEWART AVE, STE 310, WESTBURY, NY 11590-6696
(516) 224-4271
Mailing address
8911 187TH ST, HOLLIS, NY 11423-1827
(347) 385-3247
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008998-1
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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