Ethel Lastra-Reis, MS

Primary specialty

SpecialistTaxonomy code 174400000X

License

958000 Issued in NY

Practice address

7825 4TH Ave Apt B8
Brooklyn, NY 11209-3718

Phone

(917) 836-3183

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ethel Lastra Reis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1649686726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 4TH AVE APT B8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093718",
            "telephone_number": "917-836-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 4TH AVE APT B8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093718",
            "telephone_number": "917-836-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTRA-REIS",
        "first_name": "ETHEL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "958000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHEL",
            "last_name": "LASTRA REIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lucia Lassman, RD
• Eric S Last, DDS
• Daisha Laster, LMSW
• Samuel Abraham Laster, OTR/L
• Ronald Lastique, COORDINATING MANAGER
• Paulina Laszczkowska
• Bozena A Laszczyk
• Zbigniew Laszczyk, DPT
• Magdala Lataillac, RN
• Maya Lataria, MS IN ED

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.