| Reginald Hughes Md Pc | |
|
647 Bryant Ave Bronx NY 10474-6500 | |
| (646) 759-4440 | |
| (646) 759-2906 |
| Full Name | Reginald Hughes Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 647 Bryant Ave, Bronx, New York |
| Authorized Official Name and Position | Reginald Douglas Hughes (PRESIDENT) |
| Authorized Official Contact | 9178622864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald Hughes Md Pc 3033 Brighton 13th St Apt A8 Brooklyn NY 11235-5623 Ph: (917) 862-2864 | Reginald Hughes Md Pc 647 Bryant Ave Bronx NY 10474-6500 Ph: (646) 759-4440 |
| NPI Number | 1235898735 |
|---|---|
| Provider Enumeration Date | 12/12/2021 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 3971970419 |
|---|---|
| Medicare Enrollment ID | O20221114000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Reginald Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619047958 PECOS PAC ID: 9133187412 Enrollment ID: I20050103000967 |
| Provider Name | Yledede Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841448065 PECOS PAC ID: 7810255270 Enrollment ID: I20171213001999 |
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