Provider Demographics
NPI:1649355686
Name:REYES-ARCANGEL, FE TRINIDAD (MD)
Entity type:Individual
Prefix:DR
First Name:FE
Middle Name:TRINIDAD
Last Name:REYES-ARCANGEL
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 1:1 ANTON CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6265
Mailing Address - Country:US
Mailing Address - Phone:845-634-8196
Mailing Address - Fax:845-638-0107
Practice Address - Street 1:1 ANTON CT
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6265
Practice Address - Country:US
Practice Address - Phone:845-634-8196
Practice Address - Fax:845-638-0107
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8430942OtherCIGNA
NYP3174333OtherOXFORD
NY0H3694OtherHEALTH NET
NY349AP1OtherEMPIRE BC/BS
NY149690-N02OtherHIP
NYWELL CHOICEOther349AP1
NY00894284Medicaid
NY1787017OtherUNITED HEALTH CARE
NY5743316OtherAETNA
NY00894284Medicaid
NYP3174333OtherOXFORD