Individual
BRIAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1565 LONG POND RD, ROCHESTER, NY 14626-4168
(585) 474-4228
Mailing address
1565 LONG POND RD, ROCHESTER, NY 14626-4168
(585) 474-4228
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-5959
NY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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