Individual
DR. REGINE BRUNY-OLAWAIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MBA
Contact information
Practice address
726 BROADWAY, NEW YORK, NY 10003-9616
(212) 998-4781
Mailing address
44 PAUL AVE, NEW HYDE PARK, NY 11040-3129
(716) 310-7486
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
240351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240351
NYS LICENSE
NY
Enumeration date
05/17/2007
Last updated
01/31/2020
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