Provider Demographics
NPI:1114194859
Name:SANCHEZ-REYES, NIULKA B (DDS)
Entity type:Individual
Prefix:DR
First Name:NIULKA
Middle Name:B
Last Name:SANCHEZ-REYES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2861 BAINBRIDGE AVE APT 5A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-2877
Mailing Address - Country:US
Mailing Address - Phone:917-723-9437
Mailing Address - Fax:
Practice Address - Street 1:9002 43RD AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3472
Practice Address - Country:US
Practice Address - Phone:718-651-8082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051561-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice