Individual provider · Type 1 NPI

Theresa Reyes Custodio, RN

Pediatric Registered Nurse · Yonkers, NY

NPI number 1508162397 Active

About NPI 1508162397

Theresa Reyes Custodio, RN's National Provider Identifier is 1508162397, issued on Jan 27, 2011. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Yonkers, NY. The record was last updated on Jan 27, 2011.