Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rodney Sam Reyes, BA, ADVCASAC-G

Individual provider Substance Abuse Rehabilitation Facility · NPI 1407242191

Mr. Rodney Sam Reyes, BA, ADVCASAC-G is a Substance Abuse Rehabilitation Facility in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

770 E 176th St
Bronx, NY 10460-4617
Phone: (929) 306-7951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 28646 (NY)

Record details

NPI number1407242191
Entity typeIndividual (Type 1)
GenderMale
Credentials BA , ADVCASAC-G
Sole proprietorYes
NPI enumeratedApril 9, 2015
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

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