NPI 1144792854

Rafael Reyes, SAC

Practitioner Surgical Assistant Jamaica, NY

Practice location

Address: 14809 88th Ave APT 2a, Jamaica, NY 11435-3424
Phone: (646) 301-0819

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 18-383 (NY)

Other Specialist/Technologist, Other providers in New York →

Registry record

NPI: 1144792854
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2018
Record last updated: 19 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.