Individual
MS. REGINA C K EICHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH, MS
Contact information
Practice address
2505 MAIN ST STE 223, STRATFORD, CT 06615-5839
(203) 375-5812
(203) 375-6027
Mailing address
570 KING ST, CHAPPAQUA, NY 10514-3537
(914) 238-1101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002266
CT
363A00000X
Physician Assistant
Primary
008159-1
NY
Other
Enumeration date
05/26/2009
Last updated
03/28/2016
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