Individual
JOSEPH PATRICK REGNERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2296
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2296
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
000572
NY
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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