| John a Reyes MD PC | |
|
15a Berry Hill Rd Oyster Bay NY 11771-3538 | |
| (516) 458-6316 | |
| Not Available |
| Full Name | John a Reyes MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 15a Berry Hill Rd, Oyster Bay, New York |
| Authorized Official Name and Position | John a Reyes (OWNER) |
| Authorized Official Contact | 5164586316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John a Reyes MD PC Po Box 690 Oyster Bay NY 11771-0690 Ph: (516) 458-6316 | John a Reyes MD PC 15a Berry Hill Rd Oyster Bay NY 11771-3538 Ph: (516) 458-6316 |
| NPI Number | 1891416384 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Certification Date | 09/03/2022 |
| Medicare PECOS PAC ID | 8123495629 |
|---|---|
| Medicare Enrollment ID | O20221111001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891416384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | John a Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295888709 PECOS PAC ID: 0840256780 Enrollment ID: I20041202000836 |
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