CENTRO DENTAL DRA. REYES PLLC NPI 1346412459

NPI Information

NPI: 1346412459
Provider Name: CENTRO DENTAL DRA. REYES PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1569 SAINT NICHOLAS AVE
NEW YORK, NY
ZIP 10040
Phone: (212) 740-2800
Get Directions

CENTRO DENTAL DRA. REYES PLLC is a dental clinic center in New York, NY. CENTRO DENTAL DRA. REYES PLLC NPI is 1346412459. The provider is registered as an organization entity type.

The provider's business location address is:

1569 SAINT NICHOLAS AVE
NEW YORK, NY
ZIP 10040-261
Phone: (212) 740-2800
Fax: (212) 740-1900

The provider's authorized official is Fabiola Antillana Reyes .
The authorized official title is General Dentist and has the following contact phone number (212) 740-2800.

The enumeration date for this NPI number is 3/28/2008 and was last updated on 3/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	048089	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01926416	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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