Basic Information
| Provider Information | |||||||||
| NPI: | 1235898735 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REGINALD HUGHES MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3033 BRIGHTON 13TH ST APT A8 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112355623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178622864 | ||||||||
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| Practice Location | |||||||||
| Address1: | 647 BRYANT AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104746500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6467594440 | ||||||||
| FaxNumber: | 6467592906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2021 | ||||||||
| LastUpdateDate: | 10/04/2022 | ||||||||
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| AuthorizedOfficialLastName: | HUGHES | ||||||||
| AuthorizedOfficialFirstName: | REGINALD | ||||||||
| AuthorizedOfficialMiddleName: | DOUGLAS | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9178622864 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 10/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.