CENTRO DENTAL DRA. REYES PLLC (NPI# 1346412459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346412459 |
| Entity Type | Organization |
| Organization Name | CENTRO DENTAL DRA. REYES PLLC |
| Practice Address |
1569 Saint Nicholas Ave New York NY 10040-4261 |
| Practice Telephone | 2127402800 |
| Practice Fax Number | 2127401900 |
| Mailing Telephone | 2127402800 |
| Mailing Fax Number | 2127401900 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | DR. FABIOLA ANTILLANA REYES (GENERAL DENTIST) |
| Authorized Official Telephone | 2127402800 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
048089 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01926416 | 05 |
| Street Address |
1569 SAINT NICHOLAS AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10040-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922550854 | Dahina Tavarez | Social Worker | 607w 190th St Apt 2d, New York, NY 10040 | 2016-10-26 |
| 1518418011 | Andres M. Pereira M.d.p.c. | Family Medicine | 47 Sickles St Suite 1a, New York, NY 10040 | 2016-10-19 |
| 1003281692 | Sandra Feliz | Specialist | 34 Bogardus Place Apt 2a, New York, NY 10040 | 2015-12-08 |
| 1790179562 | G Home Companion Services, Inc. | In Home Supportive Care | 25 Nagle Ave Apt # 5a, New York, NY 10040 | 2015-03-19 |
| 1669810503 | Sandra I. Morban | Licensed Practical Nurse | 45 Thayer St. #5g, New York, NY 10040 | 2013-06-13 |
| 1679814248 | Zheng Zhou | Psychologist | 340 Cabrini Blvd, Apt 203, New York, NY 10040 | 2013-03-07 |
| 1710253323 | Miriam P Bacon | Physical Therapist | 12-18 Ellwood Street, New York, NY 10040 | 2012-03-28 |
| 1730455593 | Alyssa Marie Corr | Occupational Therapist | 1218 Ellwood Street, Ny, NY 10040 | 2012-03-27 |
| 1801160254 | Claire Gordon | Speech-Language Pathologist | 802 West 190 St., #2-g, New York, NY 10040 | 2012-03-02 |
| 1548542483 | Samuel Emerson Carlisle | Social Worker | 4530 Broadway 4e, New York, NY 10040 | 2011-09-16 |
| Find all providers in zip 10040 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1992330641 | Modern Dental of Manhattan PC | Clinic/Center | 425 Madison Ave Rm 500, New York, NY 10017-1170 | 2020-03-03 |
| 1801429840 | Les Dental Group PC | Clinic/Center | 62 Rivington St Ste 1a-d, New York, NY 10002-2140 | 2020-02-18 |
| 1649801432 | Chavez Dds PC | Clinic/Center | 1037 2nd Ave, New York, NY 10022-4024 | 2020-01-30 |
| 1215574868 | Hudson Street Dental Associates, LLP | Clinic/Center | 315 Hudson St Lbby 1, New York, NY 10013-1009 | 2019-12-03 |
| 1043854565 | Nadia Rodriguez Dmd, Pllc | Clinic/Center | 140 W 58th St Ste 6, New York, NY 10019-2120 | 2019-10-29 |
| 1720621147 | Robert Cleary Dds PC | Clinic/Center | 25 W 45th St Ste 1407, New York, NY 10036-4902 | 2019-10-18 |
| 1801440706 | Smiling Buddha Dental Pllc | Clinic/Center | 30 Central Park S Rm 13c, New York, NY 10019-1646 | 2019-07-29 |
| 1699246777 | Smile Design Dental Studio Pllc | Clinic/Center | 320 E 53rd St Ste 1a, New York, NY 10022-5298 | 2018-12-16 |
| 1477037539 | All Smiles Dental On 12th Corp | Clinic/Center | 59 W 12th St Apt 1c, New York, NY 10011-8520 | 2018-09-24 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.