Provider Demographics
NPI:1255113064
Name:REYES, FRANCES (RN, BSN, MPA)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:RN, BSN, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 N BROADWAY APT 727
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2052
Mailing Address - Country:US
Mailing Address - Phone:914-258-0116
Mailing Address - Fax:
Practice Address - Street 1:510 COURTLANDT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5032
Practice Address - Country:US
Practice Address - Phone:347-964-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY558167163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice