Reyes, Ponciano L.

Reyes, Ponciano L. is an individual health care provider with primary practice located at 19 Baker Ave Suite 100, Poughkeepsie NY 12601-1359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Reyes, Ponciano L. can be contacted via phone (845) 454-1942.

Contact Information

Primary practice address
19 Baker Ave Suite 100 Poughkeepsie NY 12601-1359
Fax: (845) 452-4638
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 217770 New York

Profile Details

NPI number 1427126051
LBN Legal business name Reyes, Ponciano L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Dec 16th, 2009 - 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 1427126051 NPPES
New York MEDICAID 02498608

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