Individual provider · Type 1 NPI
Genill Reynoso, FNP-BC
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1558829341
Active
Practice location
4405 Broadway
New York, NY 10040
Other practice locations
- 4405 Broadway, New York, NY 10040 · (212) 740-2020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16105 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ01151200 (NJ) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407674 (NY) |
| Family Nurse Practitioner | 363LF0000X | F343720-1 (NY) |
| Family Nurse Practitioner | 363LF0000X | 95021583 (CA) |
| Family Nurse Practitioner | 363LF0000X | 26NJ01151200 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1558829341
Genill Reynoso, FNP-BC's National Provider Identifier is 1558829341, issued on Mar 11, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on May 23, 2026.