Individual
MICHELLE LEE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
120 BETHPAGE RD, HICKSVILLE, NY 11801-1515
(516) 932-7777
Mailing address
66 KUHL AVE, HICKSVILLE, NY 11801-2444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017539
NY
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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