Whalio Doctors

NPI 1407242191

Rodney Sam Reyes, BAADVCASACG

Practitioner Substance Abuse Rehabilitation Facility Bronx, NY

Practice location

Address
770 E 176th St, Bronx, NY 10460-4617
Phone
(929) 306-7951
Mailing address
770 St 176 630 Concord Avenue, Bronx, NY 10455-1045

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 28646 (NY)

Registry record

NPI
1407242191
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Apr 2015
Record last updated
22 Oct 2024

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.