National Provider Identifier

Brian Reynolds

Brian Reynolds is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 474-4228.

NPI 1962220442Rochester, NYPeer Specialist

Profile Overview

NPI
1962220442
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
October 02, 2024
Last Updated
October 02, 2024

Practice Location

  • 1565 Long Pond RD
  • Rochester, NY 14626-4168

Phone: (585) 474-4228

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1962220442
Entity Type
Individual
Last Name
Reynolds
First Name
Brian
Mailing Street Address
1565 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4168
Mailing Country
US
Mailing Phone
(585) 474-4228
Practice Street Address
1565 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4168
Practice Country
US
Practice Phone
(585) 474-4228
Enumeration Date
October 02, 2024
Last Updated
October 02, 2024
Sex
Male
Sole Proprietor
No
Certification Date
October 02, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)