John Emmanuel Delos Reyes, MS, RDN
Dietitian, Registered in Staten Island, NY. Individual provider (NPI-1).
NPI number1831828136
StatusActive
Last updated in NPPESJun 10, 2022
Details
- NPI
- 1831828136
- Entity type
- Individual (NPI-1)
- Name
- John Emmanuel Delos Reyes
- Credential
- MS, RDN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2022
- Certification date
- Jun 10, 2022
- Last updated
- Jun 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 010985 | NY | Yes |
Practice location
256 Mason Ave Bldg C3Staten Island, NY 10305-3408
Phone 718-226-1300
Mailing address
2602 Wildberry CtEdison, NJ 08817-2756
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