Reynolds, Marie

Reynolds, Marie is an individual health care provider with primary practice located at 35 Dock St Andrus Children'S Center, Yonkers NY 10701-2733. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Reynolds, Marie can be contacted via phone (914) 966-1109.

Contact Information

Primary practice address
35 Dock St Andrus Children'S Center Yonkers NY 10701-2733
Phone: (914) 966-1109
Fax: (914) 965-1663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1275729600
LBN Legal business name Reynolds, Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Nov 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275729600 NPPES
New York Other WVE061 AGENCY MEDICAID #
New York Other 00355940 AGENCY MEDICAID #
New York Other 1285628552 AGENCY MEDICAID #

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