Reynolds, Roy B
Reynolds, Roy B is an individual health care provider with primary practice located at 8201 Britton Ave #3R, Elmhurst NY 11373-2434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reynolds, Roy B can be contacted via phone (718) 672-0083.Contact Information
Primary practice address
8201 Britton Ave #3R
Elmhurst NY 11373-2434
Phone: (718) 672-0083
Fax: (718) 672-9885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 163521 | New York |
Profile Details
| NPI number | 1801952064 |
|---|---|
| LBN Legal business name | Reynolds, Roy B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 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 | 1801952064 | NPPES |
| New York | MEDICAID | MM15910421 |
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