Individual
MR. FLORENTINO GONZALES REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
155 W 19TH ST, 4TH FLOOR, NEW YORK, NY 10011-4121
(212) 929-2629
(212) 929-4971
Mailing address
155 W 19TH ST, 4TH FLOOR, NEW YORK, NY 10011-4121
(212) 929-2629
(212) 929-4971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005334
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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