Individual
REGINA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 NATHAN D PERLMAN PLACE, NEW YORK, NY 10003
(212) 844-1871
Mailing address
56 BROOKSIDE RD, CLARKSBURG, NJ 08510-1235
(732) 308-3499
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
433362
NY
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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