Reyes, Guillermo Ysmael
Reyes, Guillermo Ysmael is an sole proprietor health care provider with primary practice located at 54 W Burnside Ave , Bronx NY 10453-4018. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Reyes, Guillermo Ysmael can be contacted via phone (718) 299-5454.Contact Information
Primary practice address
54 W Burnside Ave
Bronx NY 10453-4018
Phone: (718) 299-5454
Fax: (718) 299-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 01812019 | New York |
Profile Details
| NPI number | 1801964770 |
|---|---|
| LBN Legal business name | Reyes, Guillermo Ysmael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801964770 | NPPES |
| New York | MEDICAID | 01812019 |
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