Individual
DR. REGINA LEGERE-BUCCELLATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4471
Mailing address
5068 44TH ST, WOODSIDE, NY 11377-7320
(718) 482-8547
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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