Individual
MR. ENRIQUE R. DELOS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
124 BELMONT AVE, LONG BEACH, NY 11561-3807
(516) 889-7515
(516) 889-7515
Mailing address
124 BELMONT AVE, LONG BEACH, NY 11561-3807
(516) 889-7515
(516) 889-7515
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
04389-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00549495
—
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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