Sr 350 Medical PC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

Legal business name

SR 350 MEDICAL PC

Practice address

350 Fulton St
Brooklyn, NY 11201-5123

Phone

(347) 916-1144

Fax

(718) 797-2364

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sylvia Estella Reyes, MD

Title

Owner

Phone

(347) 916-1144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1972172914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015123",
            "telephone_number": "347-916-1144",
            "fax_number": "718-797-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015123",
            "telephone_number": "347-916-1144",
            "fax_number": "718-797-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR 350 MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "ESTELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-916-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Psychiatry & Neurology) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.