Individual
EMILY ROSE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8326 MAIN ST, INTERLAKEN, NY 14847-9789
(607) 869-9636
Mailing address
82 N PINE AVE, ALBANY, NY 12203-1712
(518) 253-3671
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
704014
NY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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