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Individual
REGINA MAKDISSI
Active
Individual
REGINA MAKDISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
002664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027708901
EXCELLUS UNIVERA
NY
01
—
000528695001
HEALTH NOW
NY
05
—
02792565
—
NY
01
—
0414001
INDEPENDENT HEALTH
NY
Enumeration date
08/04/2006
Last updated
11/23/2011
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