Individual
REGINA G MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
492 MONTAUK HWY, EAST MORICHES, NY 11940-1347
(631) 638-2900
(631) 878-8083
Mailing address
PO BOX 1559, SUITE 104, STONY BROOK, NY 11790-0989
(631) 638-2900
(631) 878-8083
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381158-1
NY
Other
Enumeration date
07/20/2007
Last updated
12/04/2013
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