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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RODNEY SAM REYES, BA, ADV. CASAC-G

Active Sole Proprietor

MR. RODNEY SAM REYES, BA, ADV. CASAC-G is a Substance Abuse Rehabilitation Facility healthcare provider located in BRONX, New York. NPI 1407242191 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · BRONX, NY

Registration Details

NPI Number
1407242191
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2015 (11.346758746033 yrs)
Last Updated
Oct 22, 2024
License
28646 (NY)
Sole Proprietor
Yes

Practice Information

Address
770 E 176TH ST
BRONX, NY, 104604617
Browse NY providers · Browse ZIP 10460
Phone
9293067951
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in BRONX, NY

Name Credential NPI
MS. JANICE E. CLEMONS CASAC 1023259769
JOSHUA HAYWARD CASAC 1023411188
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.