Reyes, Gregorio

Reyes, Gregorio is an individual health care provider with primary practice located at 10 Medical Plz Ste 205, Glen Cove NY 11542-2101. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Reyes, Gregorio can be contacted via phone (516) 671-6900.

Contact Information

Primary practice address
10 Medical Plz Ste 205 Glen Cove NY 11542-2101
Phone: (516) 671-6900
Fax: (516) 671-6901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 111543 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 111543 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 111543 New York

Profile Details

NPI number 1376549865
LBN Legal business name Reyes, Gregorio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376549865 NPPES
New York MEDICAID 00200904

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