Provider Demographics
NPI:1235898735
Name:REGINALD HUGHES MD PC
Entity Type:Organization
Organization Name:REGINALD HUGHES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-862-2864
Mailing Address - Street 1:3033 BRIGHTON 13TH ST APT A8
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5623
Mailing Address - Country:US
Mailing Address - Phone:917-862-2864
Mailing Address - Fax:
Practice Address - Street 1:647 BRYANT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-6500
Practice Address - Country:US
Practice Address - Phone:646-759-4440
Practice Address - Fax:646-759-2906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-12
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty