Gregory L. Reynolds | New York, NY • PECOS Search

Gregory L. Reynolds

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

460 W 34th St, 11th Floor, New York, NY 10001-2320

(212) 273-6100 (646) 509-5515

PECOS Enrollment

Based on the most recent information from CMS, provider Gregory L. Reynolds does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1508060419
Provider Type
Individual
Full Name
Reynolds, Gregory L.
Gender
Male

Sole Proprietor
No
Enumeration Date
6/13/2007
Last Updated
3/24/2010

Contact Information

Practice Location

460 W 34th St, 11th Floor, New York, NY 10001-2320

Unlisted Fax

Mailing Location

433 W 21st St, Apt 9c, New York, NY 10011-2906

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 010853 New York