Individual
MS. GABRIELLA REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4904 19TH AVE, ASTORIA, NY 11105-1002
(718) 777-3494
Mailing address
4904 19TH AVE, ASTORIA, NY 11105-1002
(718) 777-3494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018915
NY
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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