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Individual

MS. REGINA M PENIOWICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
132 RECTORY ST, PORT CHESTER, NY 10573-3240
(914) 934-7982
Mailing address
132 RECTORY ST, PORT CHESTER, NY 10573-3240
(914) 934-7982

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
527391-1
NY

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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