Individual
REGINE JULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1918 CHELSEA ST, ELMONT, NY 11003-1200
(917) 863-5434
Mailing address
1918 CHELSEA ST, ELMONT, NY 11003-1200
(917) 863-5434
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421252-1
NY
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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