National Provider Identifier

Jose Isaac Reyes, MD

Jose Isaac Reyes, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 795-8040.

NPI 1194420315Elmira, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1194420315
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 05, 2023
Last Updated
May 27, 2025

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1676

Phone: (607) 795-8040

Mailing Address

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1194420315
Entity Type
Individual
Last Name
Reyes
First Name
Jose
Middle Name
Isaac
Credential
MD
Mailing Street Address
600 Roe Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1629
Mailing Country
US
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1676
Practice Country
US
Practice Phone
(607) 795-8040
Enumeration Date
April 05, 2023
Last Updated
May 27, 2025
Sex
Male
Sole Proprietor
No
Certification Date
May 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)