Provider Demographics
NPI:1649357997
Name:REYES, RAY BENEDICT (PT)
Entity type:Individual
Prefix:MR
First Name:RAY
Middle Name:BENEDICT
Last Name:REYES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3005
Mailing Address - Country:US
Mailing Address - Phone:212-684-6699
Mailing Address - Fax:212-684-1886
Practice Address - Street 1:19 E 37TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3005
Practice Address - Country:US
Practice Address - Phone:212-684-6699
Practice Address - Fax:212-684-1886
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023690-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00000102912OtherBETTER HEALTH PLANS
NYP3553077OtherOXFORD OUT-OF NETWORK
NY248-3115OtherUNITED HEALTHCARE
NY5590367OtherFIRST HEALTH
NY12276750OtherMULTIPLAN
NY4584486OtherPPNI
NY12276750OtherMULTIPLAN