Provider Demographics
NPI:1942375084
Name:REYES-ARGUELLES, ZENAIDA AMAYAO (MD)
Entity type:Individual
Prefix:DR
First Name:ZENAIDA
Middle Name:AMAYAO
Last Name:REYES-ARGUELLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2613
Mailing Address - Country:US
Mailing Address - Phone:718-287-2099
Mailing Address - Fax:
Practice Address - Street 1:1515 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2613
Practice Address - Country:US
Practice Address - Phone:718-287-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166048207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY71D801Medicare ID - Type Unspecified
NYB78977Medicare UPIN