Individual
ADA REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 TROY RD, RENSSELAER, NY 12144-9756
(518) 938-1980
(518) 938-1988
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721528
NY
363LF0000X
Family Nurse Practitioner
Primary
348038
NY
Other
Enumeration date
09/02/2021
Last updated
01/19/2026
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