Individual
MS. ELIZABETH REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
913 MAIN AVENUE, PASSAIC, NJ 07055
(973) 458-8000
(973) 458-8425
Mailing address
913 MAIN AVENUE, PASSAIC, NJ 07055
(973) 458-8000
(973) 458-8425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00166800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A00049500
CDS
NJ
Enumeration date
01/30/2007
Last updated
03/07/2023
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