Individual
REGINA A. LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
669 CASTLETON AVE, STATEN ISLAND MENTAL HEALTH SOCIETY, STATEN ISLAND, NY 10301
(718) 442-2225
(718) 442-2289
Mailing address
PO BOX 1882, NEW YORK, NY 10009-8911
(212) 228-6406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
214059
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
214059
NY
Other
Enumeration date
06/01/2006
Last updated
09/11/2025
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