Most Relevant Information
Provider Data
| NPI Number: | 1003048638 |
| Provider Name: | NICOLE NOELLE REYNOLDS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | F430480-1 |
Most Important Dates
| Enumeration Date: | 08/15/2009 |
| Last Updated: | 12/07/2018 |
Provider Practice Location
1275 YORK AVE
NEW YORK
NY
100656007
Practice Location Phone/Fax
| Phone: | 2126827326 |
| Fax: |
Provider Mailing Location
1275 YORK AVE
NEW YORK
NY
100656007
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |