Provider Demographics
NPI:1801007042
Name:SALGUNAN, REKA (MD)
Entity Type:Individual
Prefix:DR
First Name:REKA
Middle Name:
Last Name:SALGUNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 EAST 98TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6788
Mailing Address - Country:US
Mailing Address - Phone:212-722-7323
Mailing Address - Fax:
Practice Address - Street 1:104 E 98TH ST
Practice Address - Street 2:APARTMENT 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6768
Practice Address - Country:US
Practice Address - Phone:212-722-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine