Individual
JOHN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
PO BOX 67, CARMEL, NY 10512-0067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401713
NY
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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