Provider Demographics
NPI:1932544038
Name:REYES, DELANY ALYSSA
Entity Type:Individual
Prefix:MS
First Name:DELANY
Middle Name:ALYSSA
Last Name:REYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5502 102ND ST
Mailing Address - Street 2:APT 1
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-5156
Mailing Address - Country:US
Mailing Address - Phone:347-740-3777
Mailing Address - Fax:
Practice Address - Street 1:5502 102ND ST
Practice Address - Street 2:APT 1
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-5156
Practice Address - Country:US
Practice Address - Phone:347-740-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator