Basic Information
| Provider Information | |||||||||
| NPI: | 1356612824 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REGINALD HUGHES, MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10305 LEFFERTS BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH RICHMOND HILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114192011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178622864 | ||||||||
| FaxNumber: | 8662237072 | ||||||||
| Practice Location | |||||||||
| Address1: | 10305 LEFFERTS BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH RICHMOND HILL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 114192011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178622864 | ||||||||
| FaxNumber: | 8662237072 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2012 | ||||||||
| LastUpdateDate: | 01/16/2012 | ||||||||
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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: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 218738 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.