| Doctor Name: | JOANA REYES |
| NPI Number: | 1255701363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | F339845 |
| Business Practice Address: | 213 Main St Ste 2 West Sayville, NY - 117961800 |
| Business Phone Number: | 6315636205 |
| Business Fax Number: | |
| Mailing Address: | 213 Main St Ste 2, WEST SAYVILLE |
| State: | NY |
| Postal Code: | 117961800 |
| Phone Number: | 6315636205 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 03/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F339845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |